Individual provider Active NPI

Simon K Gorwara, MD FACC

  • Interventional Cardiology Physician
  • Poughkeepsie, NY
National Provider Identifier
1114990025
Registry record updated Jan 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
202115 Issued in NY
Practice address
1 Columbia St
Suite 200
Poughkeepsie, NY 12601-3923
Phone
(845) 473-1188
Fax
(845) 473-0896
NPI assigned
Feb 10, 2006
Last updated
Jan 9, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 202115 NY
Interventional Cardiology Physician 207RI0011X 202115 NY Primary

Addresses

Primary practice location

1 Columbia St
Suite 200
Poughkeepsie, NY 12601-3923

Mailing address

1 Columbia St
Suite 200
Poughkeepsie, NY 12601-3923
Phone (845) 473-1188

Other identifiers 1

IdentifierTypeStateIssuer
02154218MedicaidNY

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
I20100327000383 NY Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Critical Care (Intensivists)Practitioner - Interventional Cardiology 7810086899 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Critical Care (Intensivists), Interventional Cardiology
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hudson Valley Cardiovascular Practice PCGroup PAC ID 0244467181, 67 clinicians

Practice addresses (Care Compare)

1 Columbia St
Suite 200
Poughkeepsie, NY 12601-3924
Phone (845) 473-1188

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.69 of 100Reported as group
Quality
54.12
Promoting interoperability
98
Improvement activities
40
Cost
76.5

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
202115NYMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hudson Valley Cardiovascular Practice, PC Cardiovascular Disease CurrentSince Nov 4, 2013 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

939 Little Britain Rd
New Windsor, NY 12553
Phone (845) 291-7041

1 Columbia St
Ste 200
Poughkeepsie, NY 12601
Phone (845) 473-1188

1 Columbia St
Ste 300
Poughkeepsie, NY 12601
Phone (845) 483-0100

115 Delafield St
Poughkeepsie, NY 12601
Phone (845) 240-7707

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1139529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420761600000",
    "number": "1114990025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 COLUMBIA ST",
            "address_2": "SUITE 200",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126013923",
            "telephone_number": "845-473-1188",
            "fax_number": "845-473-0896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 COLUMBIA ST",
            "address_2": "SUITE 200",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126013923",
            "telephone_number": "845-473-1188",
            "fax_number": "845-473-0896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORWARA",
        "first_name": "SIMON",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "MD FACC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-10",
        "last_updated": "2015-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "202115",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NY",
            "license": "202115",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02154218",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Poughkeepsie, NY

Sources for this page

Verify at the official NPI Registry.