NPIMap

Individual provider Active NPI

Gurdeep S Kundlas, M.D.

  • Family Medicine Physician
  • Bath, NY
National Provider Identifier
1063477677
Registry record updated Jul 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
206976 Issued in NY
Practice address
7569 State Route 54
Bath, NY 14810-9533
Phone
(607) 776-2932
Fax
(607) 776-3640
NPI assigned
Apr 18, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 206976 NY Primary

Addresses

Primary practice location

7569 State Route 54
Bath, NY 14810-9533

Mailing address

7569 State Route 54
Bath, NY 14810-9533
Phone (607) 776-2932

Other identifiers 2

IdentifierTypeStateIssuer
01761751MedicaidNY
000013534OtherNYBC BS CENTRAL NEW YORK

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address gkundlas226556@direct.urmc.rochester.edu Direct
Direct Messaging Address gkundlas226556@direct.urmc.rochester.edu Direct

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
I20070129000286 NY Practitioner - Family PracticePractitioner - Emergency MedicinePractitioner - Hospitalist 1759382161 Reassigns benefits to 7 organizations
Practice locations: Bath, NY

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ira Davenport Memorial Hospital, Inc.Group PAC ID 6406743459, 28 clinicians

Practice addresses (Care Compare)

7569 State Rte
Suite 54
Bath, NY 14810-9533
Phone (607) 766-2932

7571 State Route 54
Bath, NY 14810-9504
Phone (607) 776-8500

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Corning, NY, CCN 337292
  • Vna of Western Ny Chha Home health agency, Cheektowaga, NY, CCN 337006
  • Carefirst / Southern Tier Hospice and Palliative Hospice, Painted Post, NY, CCN 331513
  • Ira Davenport Memorial Hospital Hospital, Bath, NY, CCN 330800
  • St James Hospital Hospital, Hornell, NY, CCN 330151
  • Arnot Ogden Medical Center Hospital, Elmira, NY, CCN 330090
  • Steuben Center for Rehabilitation and Healthcare Nursing home, Bath, NY, CCN 335309
  • Ira Davenport Memorial Hospital SNF/HRF Nursing home, Bath, NY, CCN 335706

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
206976NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ira Davenport Memorial Hospital, Inc. CurrentSince Nov 1, 2024 Accepting new patients
Nes Medical Services of New York PC CurrentSince Sep 20, 2017 Accepting new patients
Delphi Healthcare PLLC CurrentSince Apr 10, 2011 Accepting new patients
Nes Medical Services of New York PC CurrentSince Sep 20, 2017 Accepting new patients
Ira Davenport Memorial Hospital, Inc. CurrentSince Nov 1, 2024 Accepting new patients
Guthrie Medical Group, P.C. CurrentSince Feb 1, 2022 Accepting new patients
Delphi Hospitalist Services LLC CurrentSince Jan 1, 2015 Accepting new patients
Guthrie Medical Group, P.C. Family Medicine CurrentSince Feb 1, 2022 Accepting new patients
St James Hospital CurrentSince Nov 2, 2019 Accepting new patients
Emergency Physician Services of New York, P.C. CurrentSince Jul 1, 2010 Accepting new patients
Ira Davenport Memorial Hospital, Inc. Current Accepting new patients
Steuben Operations Associates LLC Past Accepting new patients

Locations

7571 State Route 54
Bath, NY 14810
Phone (607) 776-8500

130 Center Way
Corning, NY 14830
Phone (607) 936-9971

1 Guthrie Dr
Corning, NY 14830
Phone (607) 937-7130

7309 Seneca Rd N
Ste 108
Hornell, NY 14843
Phone (607) 385-3790

845 Route 5 and 20
Irving, NY 14081
Phone (716) 593-1100

7329 Seneca Rd N
North Hornell, NY 14843
Phone (607) 247-2200

2209 Genesee St
Utica, NY 13501
Phone (315) 798-8100

191 N Main St
Wellsville, NY 14895
Phone (585) 593-1100

Interoperability endpoints

  • Direct secure messaging: gkundlas20771@direct.xtensys.com
  • Direct secure messaging: gkundlas226556@direct.urmc.rochester.edu

Organizations & group practices 12

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": "1145318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688342400000",
    "number": "1063477677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7569 STATE ROUTE 54",
            "city": "BATH",
            "state": "NY",
            "postal_code": "148109533",
            "telephone_number": "607-776-2932",
            "fax_number": "607-776-3640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7569 STATE ROUTE 54",
            "city": "BATH",
            "state": "NY",
            "postal_code": "148109533",
            "telephone_number": "607-776-2932",
            "fax_number": "607-776-3640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUNDLAS",
        "first_name": "GURDEEP",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-18",
        "last_updated": "2023-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "206976",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01761751",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS CENTRAL NEW YORK",
            "identifier": "000013534",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gkundlas226556@direct.urmc.rochester.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "OTHER",
            "address_1": "601 Elmwood Ave",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146420001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gkundlas226556@direct.urmc.rochester.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "OTHER",
            "address_1": "601 Elmwood Ave",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146420001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bath, NY

Sources for this page

Verify at the official NPI Registry.