Individual provider Active NPI

Adarsh Vijay Mudgil, M.D.

  • Dermatology Physician
  • New York, NY
National Provider Identifier
1205961927
Registry record updated Jul 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
233790 Issued in NY
Practice address
30 5TH Ave Apt 1D
New York, NY 10011-8803
Phone
(212) 228-2526
Fax
(212) 228-2735
NPI assigned
Feb 22, 2007
Last updated
Jul 5, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 5, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 233790 NY Primary
Dermatopathology Physician 207ND0900X 233790 NY

Addresses

Primary practice location

30 5TH Ave Apt 1D
New York, NY 10011-8803

Mailing address

30 5TH Ave Apt 1D
New York, NY 10011-8803
Phone (212) 228-2526

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
I20080425000597 NY Practitioner - Dermatology 9234217555 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
State University of New York at Stony Brook, School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

30 5TH Ave
Apt 1D
New York, NY 10011-8803
Phone (212) 228-2526

30 5TH Ave Apt
1D
New York, NY 10011-8803

99 Woodbury Rd
Hicksville, NY 11801-3043
Phone (516) 595-7454

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.98 of 100Reported as individual
Quality
75.97
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions455
Removal or shaving of skin growth1-10
Skin biopsy306

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mudgil Dermatology, P.C. Dermatology CurrentSince Oct 1, 2008 Accepting new patients
Schweiger Dermatology PLLC Dermatology PastSince Nov 1, 2017 Accepting new patients

Locations

99 Woodbury Rd
Hicksville, NY 11801
Phone (516) 595-7454

30 5th Ave
Apt 1D
New York, NY 10011
Phone (212) 228-2526

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

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 6

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": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309824000000",
    "number": "1205961927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 5TH AVE APT 1D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100118803",
            "telephone_number": "212-228-2526",
            "fax_number": "212-228-2735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 5TH AVE APT 1D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100118803",
            "telephone_number": "212-228-2526",
            "fax_number": "212-228-2735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUDGIL",
        "first_name": "ADARSH",
        "middle_name": "VIJAY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-22",
        "last_updated": "2011-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "233790",
            "primary": true
        },
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "NY",
            "license": "233790",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.