Individual provider Active NPI

Gretchen Gunn-Konduru, MD

  • Emergency Medicine Physician
  • Albany, NY
National Provider Identifier
1154852580
Registry record updated Jun 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
300789 Issued in NY
Practice address
47 New Scotland Ave
Dept. of Emergency Medicine
Albany, NY 12208-3412
Phone
(518) 262-4050
NPI assigned
Mar 27, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 300789 NY Primary

Addresses

Primary practice location

47 New Scotland Ave
Dept. of Emergency Medicine
Albany, NY 12208-3412

Mailing address

2215 Burdett Ave
Troy, NY 12180-2466
Phone (406) 580-9282

Other names 1

  • Gretchen T Gunn Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, DE2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200715003160 NY Practitioner - Emergency Medicine 7315279916 Reassigns benefits to 5 organizations
I20250924000896 DE Practitioner - Emergency Medicine 7315279916 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Albany Medical College of Union University, 2017
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

640 S State St
Dover, DE 19901-3530

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.78 of 100Reported as group
Quality
77.53
Promoting interoperability
100
Improvement activities
40
Cost
76.35

Merit-based Incentive Payment System (MIPS)

Final score
91.85 of 100Reported as group
Quality
79.23
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
300789NYMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Island Emergency Medical Services, P.C. Emergency Medicine CurrentSince Jun 1, 2023 Accepting new patients
Albany Medical College Emergency Medicine CurrentSince Oct 12, 2020 Accepting new patients
Gloversville Emergency Medicine Services PC Emergency Medicine CurrentSince Dec 1, 2021 Accepting new patients
Bayhealth Emergency Physicians LLC Emergency Medicine CurrentSince Aug 1, 2025 Accepting new patients
Albany Medical College Emergency Medicine CurrentSince Oct 12, 2020 Accepting new patients
Mary Imogene Bassett Hospital CurrentSince Jul 13, 2020 Accepting new patients
Albany Medical College Emergency Medicine Current Accepting new patients
Albany Medical College Emergency Medicine CurrentSince Oct 12, 2020 Accepting new patients
Mary Imogene Bassett Hospital CurrentSince Jul 13, 2020 Accepting new patients

Locations

640 S State St
Dover, DE 19901
Phone (302) 744-4700

100 Wellness Way
Milford, DE 19963
Phone (302) 422-3311

18383 Hudson Rd
Ste B
Milton, DE 19968
Phone (302) 725-3499

401 N Carter Rd
Ste 101
Smyrna, DE 19977
Phone (302) 659-2190

600 Northern Blvd
Albany, NY 12204
Phone (518) 427-3331

47 New Scotland Ave
Albany, NY 12208
Phone (518) 262-3773

315 S Manning Blvd
Albany, NY 12208
Phone (518) 525-1852

178 Grandview Dr
Cobleskill, NY 12043
Phone (518) 254-3456

1 Atwell Rd
Cooperstown, NY 13326
Phone (607) 547-3480

327 Beach 19th St
Far Rockaway, NY 11691
Phone (718) 689-7640

99 E State St
Gloversville, NY 12078
Phone (518) 773-5690

103 Sitterly Rd
Halfmoon, NY 12065
Phone (518) 579-2700

1275 Broadway
#106
Menands, NY 12204
Phone (518) 262-9705

1101 Nott St
Schenectady, NY 12308
Phone (518) 243-1916

200 Harborside Dr
Schenectady, NY 12305
Phone (518) 881-4470

50 Route 25A
Smithtown, NY 11787
Phone (631) 465-6225

2215 Burdett Ave
Troy, NY 12180
Phone (518) 271-3300

130 North St
Walton, NY 13856
Phone (607) 865-6541

Interoperability endpoints

  • Direct secure messaging: ggunnkonduru19305@albanymed.direct-ci.com

Organizations & group practices 9

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 2

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": "1490572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624406400000",
    "number": "1154852580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2215 BURDETT AVE",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121802466",
            "telephone_number": "406-580-9282"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 NEW SCOTLAND AVE",
            "address_2": "DEPT. OF EMERGENCY MEDICINE",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122083412",
            "telephone_number": "518-262-4050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUNN-KONDURU",
        "first_name": "GRETCHEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-27",
        "last_updated": "2021-06-23",
        "certification_date": "2021-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "300789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GRETCHEN",
            "last_name": "GUNN",
            "middle_name": "T",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.