NPIMap

Individual provider Active NPI

Uday G Gadgil, MD

  • Interventional Cardiology Physician
  • Covina, CA
National Provider Identifier
1174551568
Registry record updated Jan 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
A40126 Issued in CA
Practice address
315 N Third Ave
Suite 305
Covina, CA 91723
Phone
(626) 859-2898
Fax
(626) 859-2895
NPI assigned
Jun 28, 2006
Last updated
Jan 20, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X A40126 CA Primary

Addresses

Primary practice location

315 N Third Ave
Suite 305
Covina, CA 91723

Mailing address

315 N Third Ave
Suite 305
Covina, CA 91723
Phone (626) 859-2898

Other identifiers 1

IdentifierTypeStateIssuer
00A401261MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20080402000183 CA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 7810074887 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1970
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

315 N 3Rd Ave
Suite 305
Covina, CA 91723-1916
Phone (626) 859-2989

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A40126CAMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Centrelake Medical Group, Inc. CurrentSince Jan 1, 2023 Accepting new patients
Centrelake Medical Group Inc CurrentSince Jan 1, 2023 Accepting new patients
Centrelake Medical Group, Inc. CurrentSince May 1, 2017 Accepting new patients
Centrelake Medical Group, Inc. CurrentSince Jan 1, 2023 Accepting new patients
Centrelake Medical Group Inc CurrentSince Nov 1, 2022 Accepting new patients
Centrelake Medical Group Inc CurrentSince Jun 1, 2024 Accepting new patients
Emanate Health Medical Center Past Accepting new patients
Usc Arcadia Hospital Past Accepting new patients
Emanate Health Medical Center Past Accepting new patients
Pasadena Hospital Association, LTD. Past Accepting new patients
Pomona Valley Hospital Medical Center Past Accepting new patients
San Antonio Regional Hospital Past Accepting new patients
Emanate Health Medical Center Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 14

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.

View all 14

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": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263945600000",
    "number": "1174551568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 N THIRD AVE",
            "address_2": "SUITE 305",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "91723",
            "telephone_number": "626-859-2898",
            "fax_number": "626-859-2895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 N THIRD AVE",
            "address_2": "SUITE 305",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "91723",
            "telephone_number": "626-859-2898",
            "fax_number": "626-859-2895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GADGIL",
        "first_name": "UDAY",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2010-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "CA",
            "license": "A40126",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A401261",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Covina, CA

Sources for this page

Verify at the official NPI Registry.