Dr Shiva Pavan Ponamgi, MD in Austin, MN - Medicare Hospitalist

Dr Shiva Pavan Ponamgi, MD is a medicare enrolled "Hospitalist" physician in Austin, Minnesota. His current practice location is 1000 1st Dr Nw, Austin, Minnesota. You can reach out to his office (for appointments etc.) via phone at (507) 443-7351.

Dr Shiva Pavan Ponamgi is licensed to practice in Minnesota (license number 57047) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1669743118.

Contact Information

	Dr Shiva Pavan Ponamgi, MD
	1000 1st Dr Nw, Austin, MN 55912-2941
	(507) 443-7351
	Not Available

Physician's Profile

Full Name	Dr Shiva Pavan Ponamgi
Gender	Male
Speciality	Hospitalist
Location	1000 1st Dr Nw, Austin, Minnesota
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1669743118
Provider Enumeration Date: 01/14/2012
Last Update Date: 01/30/2024

Medicare PECOS Information:

PECOS PAC ID: 7517109390
Enrollment ID: I20200805000119

Medical Identifiers

Medical identifiers for Dr Shiva Pavan Ponamgi such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1669743118	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
208M00000X	Hospitalist	57047 (Minnesota)	Primary
207R00000X	Internal Medicine	57047 (Minnesota)	Secondary
390200000X	Student In An Organized Health Care Education/training Program	PERMIT ONLY (New Jersey)	Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Shiva Pavan Ponamgi is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Shiva Pavan Ponamgi, MD 1000 1st Dr Nw, Austin, MN 55912-2941 Ph: (507) 443-7351	Dr Shiva Pavan Ponamgi, MD 1000 1st Dr Nw, Austin, MN 55912-2941 Ph: (507) 443-7351

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Dr Shiva Pavan Ponamgi, MD - Medicare Hospitalist in Austin, MN