NPIMap

Individual provider Active NPI

Sumita S Mazumdar, M.D.

  • Internal Medicine Physician
  • Poughkeepsie, NY
National Provider Identifier
1265407266
Registry record updated Oct 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
250503 Issued in NY
Practice address
375 Hooker Ave
Poughkeepsie, NY 12603-3627
Phone
(845) 454-5000
Fax
(845) 454-5991
NPI assigned
Feb 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2023

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 250503 NY Primary

Addresses

Primary practice location

375 Hooker Ave
Poughkeepsie, NY 12603-3627

Mailing address

375 Hooker Ave
Poughkeepsie, NY 12603-3627
Phone (845) 454-5000

Other identifiers 1

IdentifierTypeStateIssuer
02323288MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20100702000457 NY Practitioner - Internal Medicine 5092886325 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Poughkeepsie Medical Group LLPGroup PAC ID 5799676300, 2 clinicians

Practice addresses (Care Compare)

375 Hooker Ave
Poughkeepsie, NY 12603-3627
Phone (845) 454-5000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
250503NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Poughkeepsie Medical Group LLP Internal Medicine CurrentSince Jan 1, 1993 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

375 Hooker Ave
Poughkeepsie, NY 12603
Phone (845) 454-5000

Interoperability endpoints

  • Direct secure messaging: smazumdar@hiemail.healtheconnections.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/DCDBDD/Endpoint/DCDBDD
  • Direct secure messaging: sumita.mazumdar@2pmg.eclinicaldirectplus.com
  • Direct secure messaging: smazumdar@direct.health-quest.org

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 and National Provider Directory roles.

Hospital & facility affiliations 7

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": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697587200000",
    "number": "1265407266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 HOOKER AVE",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126033627",
            "telephone_number": "845-454-5000",
            "fax_number": "845-454-5991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375 HOOKER AVE",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126033627",
            "telephone_number": "845-454-5000",
            "fax_number": "845-454-5991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZUMDAR",
        "first_name": "SUMITA",
        "middle_name": "S",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-22",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "250503",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02323288",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Poughkeepsie, NY

Sources for this page

Verify at the official NPI Registry.