Udayshankar R Poonamallee (NPI# 1275756314, PAC ID# 7012097207) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is UROLOGY.
| Nation Provider ID (NPI) | 1275756314 |
| PAC ID by PECOS | 7012097207 |
| Professional Enrollment ID | I20090112000638 |
| Full Name | Udayshankar R Poonamallee |
| Organization Legal Name | FOLSOM UROLOGY SURGICAL ASSOCIATES INC |
| Address |
1600 Creekside Dr Suite 3600 Folsom CA 95630-3446 |
| Phone Number | 9165407070 |
| Gender | M |
| Graduation Year | 1985 |
| Primary Specialty | UROLOGY |
| Group Practice PAC ID | 3678843950 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050414 | MERCY HOSPITAL OF FOLSOM |
| 050014 | SUTTER AMADOR HOSPITAL |
| 050309 | SUTTER ROSEVILLE MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1600 Creekside Dr, Suite 3600, Folsom, CA 95630-3446 | 9165407070 | FOLSOM UROLOGY SURGICAL ASSOCIATES INC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PHCDRR_2 | Syndromic Surveillance Reporting | % | |
| ACI_EC_TRANS_PHCDRR_2 | Syndromic Surveillance Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | FOLSOM UROLOGY SURGICAL ASSOCIATES INC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brian N Naftulin | Urology | Folsom Urology Surgical Associates Inc | 1600 Creekside Dr, Suite 3600, Folsom, CA 95630-3446 |
| Street Address |
1600 CREEKSIDE DR SUITE 3600 |
| City | FOLSOM |
| State | CA |
| Zip | 95630-3446 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert J Debruin | Internal Medicine | 1600 Creekside Dr, Suite 3800, Folsom, CA 95630-3483 | |
| Rasiklal A Patel | Nephrology | 1600 Creekside Dr, Suite 2800, Folsom, CA 95630-3486 | |
| Gary G Shi | Hematology/oncology | 1600 Creekside Dr, Suite 3750, Folsom, CA 95630-3444 | |
| Pooja Aggarwal | Internal Medicine | Folsom Urgent Care Inc | 1600 Creekside Dr, Suite 1400, Folsom, CA 95630-3445 |
| Clinton R Collins | Family Medicine | Folsom Urgent Care Inc | 1600 Creekside Dr, Suite 1400, Folsom, CA 95630-3445 |
| Thong Duy Tram | Internal Medicine | 1600 Creekside Dr, Suite 2800, Folsom, CA 95630-3444 | |
| Bingtao Lin | Pain Management | 1600 Creekside Dr, Suite 2400, Folsom, CA 95630-3485 | |
| Brian N Naftulin | Urology | Folsom Urology Surgical Associates Inc | 1600 Creekside Dr, Suite 3600, Folsom, CA 95630-3446 |
| Patrick Omalley | General Surgery | 1600 Creekside Dr, Suite 2200, Folsom, CA 95630-3485 | |
| Jay Thomas Draeger | Internal Medicine | 1600 Creekside Dr, Suite 1300, Folsom, CA 95630-3445 | |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Savita D Kumar | Clinical Social Worker | 7210 Pine Grove Way, Folsom, CA 95630-1922 | |
| Geoffrey A Allen | Chiropractic | 9477 Greenback Ln, Suite 520, Folsom, CA 95630-2087 | |
| Gina E Nelson | Clinical Social Worker | 555 Oakdale St, Suite D, Folsom, CA 95630-2451 | |
| Heather M Serpa | Chiropractic | Serpa Chiropractic Inc. | 513 Natoma St, Folsom, CA 95630-2523 |
| David J Serpa | Chiropractic | Serpa Chiropractic Inc. | 513 Natoma St, Folsom, CA 95630-2523 |
| William R Bassett | Physical Therapy | Body Concepts Inc. | 705 Gold Lake Dr, Suite 350, Folsom, CA 95630-2558 |
| Donald Gutman | Internal Medicine | 510 Mill St, Folsom, CA 95630-2607 | |
| William J Garcia | Physical Therapy | Folsom Physical Therapy and Training Center | 115 Natoma St, Training Cntr, Folsom, CA 95630-2615 |
| Michael J Moore | Physical Therapy | Folsom Physical Therapy and Training Center | 115 Natoma St, Training Cntr, Folsom, CA 95630-2615 |
| Timothy E Mcgonigle | Physical Therapy | Folsom Physical Therapy and Training Center | 115 Natoma St, Training Cntr, Folsom, CA 95630-2615 |
| Find all physicians in zip 95630 | |||
| City | FOLSOM |
| Zip Code | 95630 |
| Specialty | UROLOGY |
| City + Specialty | FOLSOM + UROLOGY |
Please comment or provide details below to improve the information on Udayshankar R Poonamallee.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.