Sampath K Neerukonda (NPI# 1801842919, PAC ID# 6901792126) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
| Nation Provider ID (NPI) | 1801842919 |
| PAC ID by PECOS | 6901792126 |
| Professional Enrollment ID | I20040225000351 |
| Full Name | Sampath K Neerukonda |
| Organization Legal Name | WESTERN NEW YORK MED-PSYCH PLLC |
| Address |
1001 E 2nd St Coudersport PA 16915-8161 |
| Phone Number | 8142749300 |
| Gender | M |
| Credential | MD |
| Medical School | YALE UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1987 |
| Primary Specialty | PSYCHIATRY |
| Group Practice PAC ID | 3072536853 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330151 | ST JAMES MERCY HOSPITAL |
| 330096 | JONES MEMORIAL HOSPITAL |
| 330144 | IRA DAVENPORT MEMORIAL HOSPITAL, INC |
| Address | Phone | Organization |
|---|---|---|
| 3 E Pulteney Sq, Steuben County Public Health, Bath, NY 14810-1510 | 6076642438 | COUNTY OF STEUBEN |
| 1001 E 2nd St, Coudersport, PA 16915-8161 | 8142749300 | WESTERN NEW YORK MED-PSYCH PLLC |
| 476 Canisteo St, Hornell, NY 14843-9768 | 6073243580 | WESTERN NEW YORK MED-PSYCH PLLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 100% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% | |
| MIPS_EC_286_overall | Dementia: Counseling Regarding Safety Concerns | 100% |
| Organization Legal Name | WESTERN NEW YORK MED-PSYCH PLLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Nancy L Erwin | Nurse Practitioner | Western New York Med-psych Pllc | 476 Canisteo St, Hornell, NY 14843-9768 |
| Sonya E Rafferty | Nurse Practitioner | Western New York Med-psych Pllc | 476 Canisteo St, Hornell, NY 14843-9768 |
| Street Address |
1001 E 2ND ST |
| City | COUDERSPORT |
| State | PA |
| Zip | 16915-8161 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Aaron J Hill | Internal Medicine | Charles Cole Memorial Hospital | 1001 E 2nd St, Coudersport, PA 16915-8161 |
| Stephen Douglas Carlson | Anesthesiology | Charles Cole Memorial Hospital | 1001 E 2nd St, Coudersport, PA 16915-8161 |
| Mandy M Collins | Physician Assistant | Charles Cole Memorial Hospital | 1001 E 2nd St, Coudersport, PA 16915-8161 |
| Sharyn Gorby | Certified Registered Nurse Anesthetist (crna) | Charles Cole Memorial Hospital | 1001 E 2nd St, Coudersport, PA 16915-8161 |
| Dorothy Sparks | General Surgery | Charles Cole Memorial Hospital | 1001 E 2nd St, Coudersport, PA 16915-8161 |
| Saket Prasad | Internal Medicine | Charles Cole Memorial Hospital | 1001 E 2nd St, Upmc Cole Gastroenterology, Coudersport, PA 16915-8161 |
| Dennis E Kirst | Certified Registered Nurse Anesthetist (crna) | Charles Cole Memorial Hospital | 1001 E 2nd St, Coudersport, PA 16915-8161 |
| Andrea Heller | Family Medicine | Charles Cole Memorial Hospital | 1001 E 2nd St, Coudersport, PA 16915-8161 |
| Brenda M Wahlers | Hospitalist | Charles Cole Memorial Hospital | 1001 E 2nd St, Cole Memorial Clinic Program, Coudersport, PA 16915-8161 |
| Frank William Horn Iii | General Surgery | Charles Cole Memorial Hospital | 1001 E 2nd St, Coudersport, PA 16915-8161 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bruce M Fink | Chiropractic | 301 S Main St, Coudersport, PA 16915-1312 | |
| Bryan Lee Neff | Podiatry | 9 E Maple St, Coudersport, PA 16915-1328 | |
| Arnold G Haskins | Clinical Social Worker | 107 S Main St, Suite 2, Coudersport, PA 16915-1355 | |
| Patrick M Browning | Certified Registered Nurse Anesthetist (crna) | Charles Cole Memorial Hospital | 1001 E 2nd St, Coudersport, PA 16915-8161 |
| Michael Nowicki | General Surgery | Charles Cole Memorial Hospital | 1001 E 2nd St, Coudersport, PA 16915-8161 |
| John Paul Dresser | Podiatry | Charles Cole Memorial Hospital | 1001 E 2nd St, Coudersport, PA 16915-8161 |
| Jeremy R Reed | Otolaryngology | Charles Cole Memorial Hospital | 1001 E 2nd St, Coudersport, PA 16915-8161 |
| Orlando Escuadra Cruz | Anesthesiology | Charles Cole Memorial Hospital | 1001 E 2nd St, Coudersport, PA 16915-8161 |
| Edward Patrick Lynam | Neuropsychiatry | Charles Cole Memorial Hospital | 1001 E 2nd St, Cole Memorial Clinic Program, Coudersport, PA 16915-8161 |
| Daphne Jeanne Mcnamara | Certified Registered Nurse Anesthetist (crna) | Charles Cole Memorial Hospital | 1001 E 2nd St, Coudersport, PA 16915-8161 |
| Find all physicians in zip 16915 | |||
| City | COUDERSPORT |
| Zip Code | 16915 |
| Specialty | PSYCHIATRY |
| City + Specialty | COUDERSPORT + PSYCHIATRY |
Please comment or provide details below to improve the information on Sampath K Neerukonda.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.