Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Kasturi Etukuru, MD

Individual provider Internal Medicine Physician · NPI 1912117300

Dr. Kasturi Etukuru, MD is an Internal Medicine in Staten Island, New York. Qualified in 2000, 26 years ago. Practices with Plover Inpatient Services LLC, a 153-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New Jersey and New York.

Years since qualifying
26
Licensed in
NJ, NY
In the registry since
2007
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

355 Bard Ave
Staten Island, NY 10310-1664
Phone: (718) 818-2526
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1 Clara Maass Dr, Belleville, NJ 07109-3550 — (732) 937-8939

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 25MA08605300 (NJ)
Internal Medicine Physician Taxonomy 207R00000X · Licence 244886 (NY)

Record details

NPI number1912117300
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 23, 2007
Last updated in NPPESApril 25, 2024
Certification dateApril 24, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Plover Inpatient Services Llc — 153 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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