KARTHICKRAJKUMAR KARIAMANICKAM – Student in an Organized Health Care Education/Training Program, NPI 1164094397

KARTHICKRAJKUMAR KARIAMANICKAM is a healthcare provider. based in Bronx, New York. specializing in INTERNAL MEDICINE. They hold a License No. 48353 (TX). The NPI Number for KARTHICKRAJKUMAR KARIAMANICKAM is 1164094397

Main info

Male
19 Years Of Experience
Accepts Medicare Assignment
Name
KARTHICKRAJKUMAR KARIAMANICKAM
NPI
1164094397
Phone
(718) 590-1800
Address
1650 GRAND CONCOURSE
Enumeration Date
16 July 2021
Last Update Date
11 July 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8067758200
Graduation Year
2007 (19 years ago)
PAC ID
7517403835
Group Practice PAC ID
6709028954
Professional Enrollment ID
I20240723003563
Address ID
TX794153364LU602XXAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:4State licenses:1Digital endpointsOther names

18,052 INTERNAL MEDICINE in NY

Provider Addresses for KARTHICKRAJKUMAR KARIAMANICKAM

  • 1650 GRAND CONCOURSE

    BRONX, NY 104577606

    Phone: (718) 590-1800

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2024-07-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240723003563IInternal MedicineTXTBD

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.

Verify on CMS Revalidation Lookup Tool

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 10457)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6709028954View full group profile
NameSpecialtyState
Internal MedicineCO
Nurse PractitionerTX
Family PracticeTX
Internal MedicineTX
Nurse PractitionerTX
H E M A T O L O G Y/ O N C O L O G YTX
Internal MedicineTX
Physician AssistantTX
Internal MedicineTN
Internal MedicineTX

Reviews

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Frequently asked questions

What identifier follows KARTHICKRAJKUMAR KARIAMANICKAM across health systems?
The NPI 1164094397 uniquely identifies KARTHICKRAJKUMAR KARIAMANICKAM in U.S. healthcare data.
Does the public listing show KARTHICKRAJKUMAR KARIAMANICKAM as active?
KARTHICKRAJKUMAR KARIAMANICKAM's NPI record reflects an active status in NPPES.
What services align with KARTHICKRAJKUMAR KARIAMANICKAM's listing?
KARTHICKRAJKUMAR KARIAMANICKAM's public classification highlights Student in an Organized Health Care Education/Training Program. Clinical services aligned with this taxonomy classification.
What city is tied to KARTHICKRAJKUMAR KARIAMANICKAM?
The directory associates KARTHICKRAJKUMAR KARIAMANICKAM with Bronx, New York. Check all listed addresses for suites or satellite offices.
Why is information missing for KARTHICKRAJKUMAR KARIAMANICKAM?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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