DR. ANIRUDH PENUMAKA (M.D.) – Neurological Surgery Physician, NPI 1043730112
Neurological Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
223 NEUROSURGERY in MA
Provider Addresses for DR. ANIRUDH PENUMAKA (M.D.)
1 Boston Medical Ctr Pl
Boston, MA 021182908
Phone: (617) 638-6800
Type: Location
593 Eddy Street APC 6
Providence, RI 029034923
Phone: (401) 793-9166
Type: Location
330 Brookline Ave
Boston, MA 022155400
Phone: (617) 667-7000
Type: Location
117 ELLENFIELD ST STE 101
PROVIDENCE, RI 029054541
Phone: (401) 444-6779
Type: Mailing
8, Ivy Hill Court, Broadmoor, Hunt Valley, Cockeysville, Baltimore County, Maryland, 21030, United States
COCKEYSVILLE, MD 210301526
Phone: (443) 803-7514
Type: Mailing
Beth Israel Deaconess Medical Center East Campus, 330, Brookline Avenue, Audubon Square, Boston, Suffolk County, Massachusetts, 02215, United States
BOSTON, MA 022155400
Phone: (617) 667-7000
Type: Location
4302 ALTON RD STE 810
MIAMI BEACH, FL 331402893
Phone: (305) 363-6237
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 40 Open Payments records for all available years, with a total value of $8,709.
Total Amount is formed as General ($8,709) + Research ($0) + Ownership ($0) = $8,709.
Last reported payment date: 2024-12-28 • Largest payer in this snapshot: Globus Medical, Inc. ($4,842).
Total Amount
$8,709
General + Research + Ownership
Payments
40
Total payment records
General Amount
$8,709
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-28
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Globus Medical, Inc. | $4,842 |
| Stryker Corporation | $1,589 |
| Synthes GmbH | $983 |
| Orthofix Medical, Inc. | $864 |
| SI-BONE, INC. | $244 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-08-01
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240708003200 | I | Neurosurgery | RI | TBD |
| I20250801000192 | I | Neurology | FL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 02118)
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Group practice members
- 1
- 2
| Name | Specialty | State |
|---|---|---|
| N E U R O S U R G E R Y | AZ | |
| Nurse Practitioner | FL | |
| Physician Assistant | FL | |
| Physician Assistant | FL | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL | |
| Nurse Practitioner | FL | |
| Physician Assistant | FL | |
| - | FL | |
| N E U R O S U R G E R Y | FL |
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