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Dr. Mrudula Premkumar , MD

Pediatrics β€’ Nyack, NY

Active NPI 1225583180 Individual Practitioner Female Practitioner
Practice location in NPPES

160 N Midland Ave
Nyack, NY 109601912

Call 9736156662 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

160 N Midland Ave

Nyack, NY 109601912

Telephone 9736156662
Organization at the Same NPPES Address or Phone
Montefiore Nyack Hospital Facility NPI 1104808062

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Open Payments general payments, program year 2025

All general payments: $519.91 across 6 records.

By nature of payment

  • Food and Beverage: $519.91 across 6 records.

Reporting-company totals (3 largest of 5)

  • Boston Scientific Corporation: $129.61 across 1 record.
  • AstraZeneca Pharmaceuticals LP: $124.99 across 1 record.
  • Davol Inc.: $119.86 across 2 records.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).

Guide: How to read an Open Payments record

NPI first issued

2016

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Premkumar has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Premkumar as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Nyack and New York

7 active clinicians are listed under Pediatrics with a practice address in Nyack, NY (5,805 in New York).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments Β· Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 – December 31, 2025): fewer than 11 records totaling $519.91.

Manufacturer Payment Nature Product Type Amount ($)
Boston Scientific Corporation
Food and Beverage
In-kind items and services
WATCHMAN FLX General $129.61
AstraZeneca Pharmaceuticals LP
Food and Beverage
In-kind items and services
TEZSPIRE General $124.99
Davol Inc.
Food and Beverage
In-kind items and services
Phasix Mesh General $88.73
Corcept Therapeutics
Food and Beverage
In-kind items and services
Korlym General $78.36
Sanofi and Genzyme US Companies
Food and Beverage
In-kind items and services
DUPIXENT General $67.09
Davol Inc.
Food and Beverage
In-kind items and services
Phasix Mesh General $31.13

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2020-02-14
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

License # reported to NPPES NY 299538

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: New York Office of the Professions.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PEDIATRIC MEDICINE

Medicare Enrollment ID

I20190829001523

Enrollment State Jurisdiction

NY

PECOS Control ID

2062740061

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

40 listed
Dr. Hassan Abdalla , MD

Internal Medicine

NPI 1205464930

Doctor of Medicine (M.D.)

NPI 1578504742

Doctor of Medicine (M.D.)

Rachel Appel , PA

Physician Assistant

NPI 1831147743

Physician Assistant

Stephen Armstrong , PA-C

Physician Assistant

NPI 1821830068

Physician Assistant (Certified)

Marianne Azar-Goodnight , CRNA

Nurse Anesthetist, Certified Registered

NPI 1073514659

Certified Registered Nurse Anesthetist

Stephanie Azevedo , PA-C

Physician Assistant

NPI 1699106583

Physician Assistant (Certified)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location July 08, 2019

Registered at 160 N MIDLAND AVE, NYACK, NY 109601912 (Tel: 9736156662)

πŸ“
Updated Business Mailing Address July 08, 2019

Registered at 61 DAVIS AVE APT Q, WHITE PLAINS, NY 106051009 (Tel: 9736156662)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2019

Pediatrics (license number reported to NPPES: NY 299538)

βœ…
NPI Profile Active August 22, 2016

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) August 22, 2016

Registered at 1650 GRAND CONCOURSE, BRONX- LEBANON HOSPITAL CENTER, BRONX, NY 10457 (Tel: 9736156662)

πŸ“
Business Mailing Address (Initial Record) August 22, 2016

Registered at 1700 GRAND CONCOURSE, APT 14 E, BRONX, NY 104577646 (Tel: 9736156662)

πŸ‘€
Provider Name / Credentials (Initial Record) August 22, 2016

Recorded as MRUDULA PREMKUMAR, M.D

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 22, 2016

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration August 22, 2016

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1225583180
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 22, 2016
Last Update: February 14, 2020
Sole Proprietor: No

Mailing Address

61 Davis Ave Apt Q

White Plains, NY 106051009

Phone: 9736156662

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.