Nishanth Pundru, MD
NPI 1205241288 · Internal Medicine Physician · Providence, RI
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Nishanth Pundru, MD is a Internal Medicine Physician provider in Providence, RI (NPI 1205241288).
Provider details
- NPI number
- 1205241288
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
12 yrs in NPPES registry
- Profile completeness25% of score
83% of core fields populated
- Practice footprint15% of score
3 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
1,057 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Subsequent Hospital Care With Straightforward Or Low Level of Medical Decision Making, Per Day, If Using Time, at Least 25 Minutes99231 | 405 | $51 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 383 | $80 |
| Hospital Discharge Day Management, More Than 30 Minutes99239 | 187 | $116 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 57 | $176 |
| Initial Hospital Care With Straightforward Or Low-Level Medical Decision Making, If Using Time, at Least 55 Minutes99222 | 14 | $134 |
| Initial Hospital Care With Same-Day Admission and Discharge With Moderate Level of Medical Decision Making, Per Day, If Using Time, at Least 70 Minutes |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 14 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Metoprolol Succinate | 24 | 11 |
| Prednisone | 20 | 18 |
| Cefuroxime Axetilbrand: Cefuroxime | 19 | 19 |
| Pantoprazole Sodium | 18 | 12 |
| Warfarin Sodium | 17 | — |
| Tamsulosin Hcl | 16 | — |
| Apixaban |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$708 across 29 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (2)
- 4802 10th AveMaimonides Medical CenterBrooklyn, NY 11219-2916Phone: (718) 283-8000
- 115 Cass AveWoonsocket, RI 02895-4705Phone: (401) 766-2970
Registry dates
- Enumerated
- 2014-06-27
- Last updated
- 2025-07-02
- Certified
- 2025-07-02
Frequently asked questions
- What is Nishanth Pundru's NPI number?
- Nishanth Pundru's National Provider Identifier (NPI) is 1205241288, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Nishanth Pundru's specialty?
- Nishanth Pundru is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Nishanth Pundru located?
- Nishanth Pundru's practice location on file with NPPES is 593 Eddy St, Providence, RI 02903-4923.
- What is Nishanth Pundru's phone number?
- The practice phone number listed in the NPPES registry for Nishanth Pundru is (401) 444-3985.
- Does Nishanth Pundru accept Medicare?
- Nishanth Pundru is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Nishanth Pundru's NPI active?
- Yes — Nishanth Pundru's NPI (1205241288) is active in the NPPES registry as of the last update on 2025-07-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.