Individual provider Active NPI

Nili Gujadhur, M.D.

  • Infectious Disease Physician
  • Poughkeepsie, NY
National Provider Identifier
1003887258
Registry record updated Jul 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
223139 Issued in NY
Practice address
9 Livingston St
Suite 4N
Poughkeepsie, NY 12601
Phone
(845) 471-0232
NPI assigned
Jan 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 223139 NY Primary
Internal Medicine Physician 207R00000X 223139 NY

Addresses

Primary practice location

9 Livingston St
Suite 4N
Poughkeepsie, NY 12601

Mailing address

21 Reade PL Ste 1100
Poughkeepsie, NY 12601-3986
Phone (845) 474-0556

Other practice location 1

9 Livingston St
Suite 4N
Poughkeepsie, NY 12601-4719
Phone (845) 471-0232

Other identifiers 1

IdentifierTypeStateIssuer
02208400MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091021000621 NY Practitioner - Infectious DiseasePractitioner - Internal Medicine 9931246097 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Nuvance Health Medical Practice PCGroup PAC ID 1658468442, 578 clinicians

Practice addresses (Care Compare)

1 Pine St
Poughkeepsie, NY 12601-3910
Phone (845) 483-0447

21 Fox St
Poughkeepsie, NY 12601-4723

45 Reade PL
Poughkeepsie, NY 12601-3947

Hospital & facility affiliations

  • Vassar Brothers Medical Center Hospital, Poughkeepsie, NY, CCN 330023

Merit-based Incentive Payment System (MIPS)

Final score
87.78 of 100Reported as individual
Quality
97.25
Improvement activities
0
Cost
82.25

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
223139NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nuvance Health Medical Practice PC Internal Medicine CurrentSince Sep 13, 2009 Accepting new patients
Hudson Infectious Disease Associates PC Infectious Disease Past Accepting new patients
Stuart a. Feinstein, M.D., P.C. Infectious Disease PastSince Mar 20, 1997 Accepting new patients

Locations

1980 Crompond Rd
Cortlandt Mnr, NY 10567
Phone (914) 734-3600

1351 Route 55
Ste 200
Lagrangeville, NY 12540
Phone (845) 475-9622

159 Barnegat Rd
Fl 2
Poughkeepsie, NY 12601
Phone (845) 452-9800

21 Reade Pl
Ste 1100
Poughkeepsie, NY 12601
Phone (845) 214-1922

9 Livingston St
Ste 4N
Poughkeepsie, NY 12601
Phone (845) 431-6800

45 Reade Pl
Fl 2
Poughkeepsie, NY 12601
Phone (845) 483-6001

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532390400000",
    "number": "1003887258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 READE PL STE 1100",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126013986",
            "telephone_number": "845-474-0556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 LIVINGSTON ST",
            "address_2": "SUITE 4N",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "12601",
            "telephone_number": "845-471-0232"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9 Livingston St",
            "address_2": "Suite 4N",
            "address_purpose": "LOCATION",
            "city": "Poughkeepsie",
            "state": "NY",
            "postal_code": "126014719",
            "country_code": "US",
            "telephone_number": "845-471-0232",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUJADHUR",
        "first_name": "NILI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-27",
        "last_updated": "2018-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NY",
            "license": "223139",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "223139",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02208400",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Poughkeepsie, NY

Sources for this page

Verify at the official NPI Registry.