Individual provider Active NPI

Nidhee H Dubal, D.P.M

  • Foot & Ankle Surgery Podiatrist
  • Poughkeepsie, NY
National Provider Identifier
1093034290
Registry record updated Apr 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
N006556-1 Issued in NY
Practice address
19 Baker Ave
Suite 302
Poughkeepsie, NY 12601-1359
Phone
(845) 471-2243
NPI assigned
May 27, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Foot & Ankle Surgery Podiatrist 213ES0103X N006556-1 NY Primary

Addresses

Primary practice location

19 Baker Ave
Suite 302
Poughkeepsie, NY 12601-1359

Mailing address

19 Baker Ave
Suite 302
Poughkeepsie, NY 12601-1359
Phone (845) 471-2243

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130626000051 NY Practitioner - Podiatry 6002054392 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
87.04 of 100Reported as group
Quality
68.23
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
N006556-1NYMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Lewis J Sims DPM P.C. Foot & Ankle Surgery CurrentSince Jul 15, 2013 Accepting new patients
Lewis J Sims DPM P.C. PastSince Dec 1, 2024 Accepting new patients

Locations

969 Main St
Ste B
Fishkill, NY 12524
Phone (845) 897-2735

19 Baker Ave
Ste 203
Poughkeepsie, NY 12601
Phone (845) 471-2243

Interoperability endpoints

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

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1274918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366848000000",
    "number": "1093034290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 BAKER AVE",
            "address_2": "SUITE 302",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126011359",
            "telephone_number": "845-471-2243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 BAKER AVE",
            "address_2": "SUITE 302",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126011359",
            "telephone_number": "845-471-2243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUBAL",
        "first_name": "NIDHEE",
        "middle_name": "H",
        "credential": "D.P.M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-27",
        "last_updated": "2013-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "N006556-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Poughkeepsie, NY

Sources for this page

Verify at the official NPI Registry.