Vinod K Gupta, MD
Individual provider Active NPI Nephrology Physician · Hudson, NY
NPI 1073569232 · NPPES record last updated May 2, 2008
Key facts
- NPI
- 1073569232
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Nephrology Physician 207RN0300X
- License
- 1-194179 (NY)
- Practice address
- 67 Prospect Ave
Suite 210
Hudson, NY 12534-2907 - Phone
- (518) 828-2565
- NPI assigned
- May 26, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 8
Hospital & facility affiliations 8
Medicare Care Compare profile
- Specialty
- Nephrology
- Education
- Other, 1975
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Columbia Memorial Hospital
Practice addresses (Care Compare)
2827 US Route 9
Valatie, NY 12184-0785
Phone (518) 828-8051
Hospital & facility affiliations
- Columbia Greene Dialysis Centers
- Community Hospice, Inc, the
- Columbia Memorial Hospital
- Albany Medical Center Hospital
- The Pines at Catskill Center for Nursing & Rehab
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20061019000537 | NY | Practitioner - Nephrology |
1951218601 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-194179 | NY | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Columbia Memorial Hospital | Current |
Accepting new patients | |
| Columbia Memorial Hospital | Current |
Accepting new patients | |
| Catskill Crossings LLC | Past | Accepting new patients | |
| Twin County Medical Associates, PC | Nephrology | Past | Accepting new patients |
| Columbia Memorial Hospital | Past | Accepting new patients |
Locations
71 Prospect Ave
Hudson, NY 12534
Phone (518) 262-3773
71 Prospect Ave
Ste 210
Hudson, NY 12534
Phone (518) 828-2565
71 Prospect Ave
Ste 190
Hudson, NY 12534
Phone (518) 697-3000
1301 River St
Valatie, NY 12184
Phone (518) 758-6575
2827 US Highway 9
Valatie, NY 12184
Phone (518) 828-7601
Interoperability endpoints
- vgupta99339@albanymed.direct-ci.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 1-194179 | NY | Yes |
Addresses
Primary practice location
67 Prospect Ave
Suite 210
Hudson, NY 12534-2907
Mailing address
67 Prospect Ave
Suite 210
Hudson, NY 12534-2907
Phone (518) 828-2565
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01593360 | Medicaid | NY | |
| 000401540001 | Other | BS OF NENY | |
| 10000824 | Other | CDPHP | |
| 30652 | Other | GHI HMO | |
| 805872 | Other | BC/BS | |
| 1349211 | Other | UNITED HEALTHCARE | |
| 040426007287 | Other | FIDELIS | |
| P920287 | Other | OXFORD | |
| 0061801 | Other | GHI PPO | |
| 195191 | Other | WELLCARE | |
| 277682 | Other | MVP |
Other providers in Hudson, NY
- Greenport Rescue Squad, Inc
- Jenna Gregory
- Kimberly Lateisha Griffin-Simmonds
- Jennifer L Gsell
- Vinita Gupta
- H. C. Harde MD
- Ashleigh Hagadorn
- Crystal Haight
- Alyssa Haley
- Ariel Marie Halleran
All providers in Hudson, NY · Nephrology Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 2, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.