NPIMap

Individual provider Active NPI

Shawn Dhupar, MD

  • Nephrology Physician
  • Poughkeepsie, NY
National Provider Identifier
1053374934
Registry record updated Jul 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
255495 Issued in NY
Practice address
68 W Cedar St
Poughkeepsie, NY 12601-1300
Phone
(845) 471-1335
Fax
(845) 471-1385
NPI assigned
Apr 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 255495 NY Primary

Addresses

Primary practice location

68 W Cedar St
Poughkeepsie, NY 12601-1300

Mailing address

68 W Cedar St
Poughkeepsie, NY 12601-1300
Phone (845) 471-1335

Other identifiers 1

IdentifierTypeStateIssuer
0041167MedicaidNJ

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101015001172 NY Practitioner - NephrologyPractitioner - Internal Medicine 5395723209 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Albany Medical College of Union University, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Kidney Care of Hudson Valley, PCGroup PAC ID 0143493817, 8 clinicians

Practice addresses (Care Compare)

425 Robinson Ave
Suite 1
Newburgh, NY 12550-3303
Phone (845) 454-1399

Hospital & facility affiliations

  • FMC Liberty Dialysis - Hyde Park Dialysis facility, Poughkeepsie, NY, CCN 332751
  • FMC Fishkill Dialysis Center Dialysis facility, Fishkill, NY, CCN 332688
  • FMC Beacon Dialysis Center Dialysis facility, Wappingers Falls, NY, CCN 332795
  • USRC Dutchess Dialysis Dialysis facility, Poughkeepsie, NY, CCN 332633
  • Vassar Brothers Medical Center Hospital, Poughkeepsie, NY, CCN 330023
  • Montefiore St Luke'S Cornwall Hospital, Newburgh, NY, CCN 330264
  • Northern Dutchess Hospital Hospital, Rhinebeck, NY, CCN 330049
  • Healthalliance Hospital Marys Avenue Campus Hospital, Kingston, NY, CCN 330224
  • Sharon Hospital Hospital, Sharon, CT, CCN 070004

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Kidney Care of Hudson Valley, PC Nephrology CurrentSince Aug 1, 2011 Accepting new patients
Ulster Dialysis, LLC Current Accepting new patients
Israel Schur MD PLLC CurrentSince Feb 1, 2020 Accepting new patients
Cogent Healthcare of New Jersey, PC Past Accepting new patients

Locations

60 Merritt Blvd
Ste 107
Fishkill, NY 12524
Phone (845) 896-1900

425 Robinson Ave
Ste 1
Newburgh, NY 12550
Phone (845) 454-1399

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

68 W Cedar St
Poughkeepsie, NY 12601
Phone (845) 485-5600

Interoperability endpoints

  • Direct secure messaging: sdhupar@direct.health-quest.org

Organizations & group practices 4

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 9

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": "1144713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280275200000",
    "number": "1053374934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 W CEDAR ST",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126011300",
            "telephone_number": "845-471-1335",
            "fax_number": "845-471-1385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 W CEDAR ST",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126011300",
            "telephone_number": "845-471-1335",
            "fax_number": "845-471-1385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DHUPAR",
        "first_name": "SHAWN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-11",
        "last_updated": "2010-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "255495",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0041167",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Poughkeepsie, NY

Sources for this page

Verify at the official NPI Registry.