KHUSBU PUN – Family Medicine Physician, NPI 1083172720
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,711 FAMILY PRACTICE in NY
Provider Addresses for KHUSBU PUN
2201 Hempstead Tpke
East Meadow, NY 115541859
Phone: (516) 616-8629
Type: Location
2201 HEMPSTEAD TPKE
EAST MEADOW, NY 115541859
Phone: (516) 616-8629
Type: Location
5616 6TH AVE
BROOKLYN, NY 112203419
Phone: (718) 439-5440
Fax: (718) 567-9772
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 11 Open Payments records for all available years, with a total value of $215.
Total Amount is formed as General ($215) + Research ($0) + Ownership ($0) = $215.
Last reported payment date: 2024-11-13 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($36).
Total Amount
$215
General + Research + Ownership
Payments
11
Total payment records
General Amount
$215
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-13
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2024-07-26
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 |
|---|---|---|---|---|
| I20220610001521 | I | Family Practice | NY | TBD |
| I20240726001630 | I | Family Practice | CA | 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 11554)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Psychiatry, Geriatric Psychiatry | CA | |
| Nurse Practitioner | CA | |
| P O D I A T R Y | CA | |
| P S Y C H I A T R Y | CA | |
| Nurse Practitioner | CA | |
| Family Practice | CA | |
| Family Practice | CA | |
| - | CA | |
| P S Y C H I A T R Y | CA | |
| Clinical Social Worker | CA |
Reviews
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