Individual provider Active NPI

Uma Gavarasana, M.D.

  • Internal Medicine Physician
  • New Hyde Park, NY
National Provider Identifier
1215119896
Registry record updated Dec 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
220424 Issued in NY
Practice address
915 Hillside Ave
New Hyde Park, NY 11040-2529
Phone
(516) 437-9660
Fax
(516) 328-9355
NPI assigned
Dec 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 220424 NY Primary

Addresses

Primary practice location

915 Hillside Ave
New Hyde Park, NY 11040-2529

Mailing address

915 Hillside Ave
New Hyde Park, NY 11040-2529
Phone (516) 437-9660

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
I20031218000139 NY Practitioner - Internal Medicine 2365349263 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
State University of New York Downstate Medical Center, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Flushing Hospital and Medical CenterGroup PAC ID 2668367483, 62 clinicians

Practice addresses (Care Compare)

14601 45TH Ave
Flushing, NY 11355-2200
Phone (718) 670-5562

4500 Parsons Blvd
Flushing, NY 11355-2205
Phone (718) 670-5486

Hospital & facility affiliations

  • Flushing Hospital Medical Center Hospital, Flushing, NY, CCN 330193

Merit-based Incentive Payment System (MIPS)

Final score
91.68 of 100Reported as group
Quality
88.38
Promoting interoperability
78
Improvement activities
40
Cost
68.89

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
220424NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Flushing Hospital & Medical Center CurrentSince Sep 8, 2014 Accepting new patients
Flushing Hospital Medical Center CurrentSince Sep 8, 2014 Accepting new patients
North Shore Long Island Jewish Healthcare Internal Medicine Past Accepting new patients

Locations

4500 Parsons Blvd
Flushing, NY 11355
Phone (718) 670-5631

14601 45th Ave
Flushing, NY 11355
Phone (718) 670-5562

4500 Parsons Blvd
Ste Acc
Flushing, NY 11355

915 Hillside Ave
North New Hyde Pk, NY 11040
Phone (516) 437-9000

Interoperability endpoints

  • Direct secure messaging: ugavarasana36210@direct.medisys.org

Organizations & group practices 3

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": "1196812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196812800000",
    "number": "1215119896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 HILLSIDE AVE",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110402529",
            "telephone_number": "516-437-9660",
            "fax_number": "516-328-9355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 HILLSIDE AVE",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110402529",
            "telephone_number": "516-437-9660",
            "fax_number": "516-328-9355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAVARASANA",
        "first_name": "UMA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-05",
        "last_updated": "2007-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "220424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hyde Park, NY

Sources for this page

Verify at the official NPI Registry.