PANCHARATHNA K ATHMARAM (MD) – Internal Medicine Physician, NPI 1164416210

PANCHARATHNA K ATHMARAM (MD) is a healthcare provider. based in Mansfield, Ohio. specializing in Internal Medicine Physician. They hold the professional credentials MD. They hold a License No. 35051805 (OH). The NPI Number for PANCHARATHNA K ATHMARAM (MD) is 1164416210

Main info

Female
Sole Proprietor
Name
PANCHARATHNA K ATHMARAM (MD)
NPI
1164416210
Phone
(419) 526-3999
Address
661 PARK AVE E
Enumeration Date
6 September 2005
Last Update Date
21 October 2009
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for PANCHARATHNA K ATHMARAM (MD)

  • Park East Medical Building, 661, Park Avenue East, Mansfield, Richland County, Ohio, 44905, United States

    SUITE A

    MANSFIELD, OH 449052880

    Phone: (419) 526-3999

    Fax: (419) 526-1137

    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: 2010-01-13

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
I20100113000233IInternal MedicineOHTBD

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 44905)

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Reviews

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Frequently asked questions

What is the registry number for PANCHARATHNA K ATHMARAM (MD)?
The registry entry for PANCHARATHNA K ATHMARAM (MD) shows NPI 1164416210.
Quick check: is PANCHARATHNA K ATHMARAM (MD) active?
Public NPPES data shows PANCHARATHNA K ATHMARAM (MD) with an active NPI status right now.
What services align with PANCHARATHNA K ATHMARAM (MD)'s listing?
PANCHARATHNA K ATHMARAM (MD)'s public classification highlights Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What city is tied to PANCHARATHNA K ATHMARAM (MD)?
The directory associates PANCHARATHNA K ATHMARAM (MD) with Mansfield, Ohio. Check all listed addresses for suites or satellite offices.
Why is information missing for PANCHARATHNA K ATHMARAM (MD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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