Active NPI
Vijay B. Gopal, M.D.
- Internal Medicine Physician
- Huntington, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 238113
- Practice address
- 76 E Main St
Ste 1
Huntington, NY 11743-2837 - Phone
- (631) 424-1170
- Fax
- (631) 424-1171
- NPI assigned
- Aug 7, 2006
- Last updated
- Jun 25, 2018
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 238113 | NY | Primary |
Addresses
Primary practice location
76 E Main St
Ste 1
Huntington, NY 11743-2837
Mailing address
76 E Main St
Ste 1
Huntington, NY 11743-2837
Phone (631) 424-1170
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
216 Willis Ave
Suite 101
Roslyn Heights, NY 11577-2125
Phone (516) 484-1333
389 Fort Salonga Rd
Suite 3
Northport, NY 11768-3089
Phone (631) 686-6658
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.88 of 100
- Quality
- 100
- Improvement activities
- 40
- Cost
- 66.43
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Quality Medical Fitness, PC | Internal Medicine | Current | Accepting new patients |
| Brij M. Sharma Physician P.C | Internal Medicine | Current | Accepting new patients |
| Robert Kazenoff MD PC | Internal Medicine | Past | Accepting new patients |
Locations
389 Fort Salonga Rd
Ste 3
Northport, NY 11768
Phone (631) 201-2474
216 Willis Ave
Roslyn Hts, NY 11577
Phone (516) 277-1614
216 Willis Ave
Ste 101
Roslyn Hts, NY 11577
Phone (516) 484-1333
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Northport, NY
- NPI 1366816415
-
- Internal Medicine Physician
- Huntington, NY
- NPI 1821298704
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529884800000",
"number": "1336158187",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "76 E MAIN ST",
"address_2": "STE 1",
"city": "HUNTINGTON",
"state": "NY",
"postal_code": "117432837",
"telephone_number": "631-424-1170",
"fax_number": "631-424-1171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "76 E MAIN ST",
"address_2": "STE 1",
"city": "HUNTINGTON",
"state": "NY",
"postal_code": "117432837",
"telephone_number": "631-424-1170",
"fax_number": "631-424-1171"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOPAL",
"first_name": "VIJAY",
"middle_name": "B.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-07",
"last_updated": "2018-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "238113",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Huntington, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.