NPIMap

Individual provider Active NPI

Vidya Valada, M.D

  • Internal Medicine Physician
  • New York, NY
National Provider Identifier
1336186758
Registry record updated Jun 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
218137 Issued in NY
Practice address
580 Park Ave Apt 1B
New York, NY 10065-7342
Phone
(212) 755-0037
Fax
(212) 755-0110
NPI assigned
Jun 2, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 13, 2024

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 218137 NY Primary

Addresses

Primary practice location

580 Park Ave Apt 1B
New York, NY 10065-7342

Mailing address

35 Sutton PL # 12D
New York, NY 10022-2429
Phone (347) 351-3315

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
I20040614000976 NY Practitioner - Internal Medicine 0244214740 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

580 Park Ave
Apt 1B
New York, NY 10065-7342
Phone (212) 755-0037

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.3 of 100Reported as individual
Quality
100
Improvement activities
40
Cost
77.67

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Vidya Valada Internal Medicine P.C Internal Medicine CurrentSince Jul 5, 2006 Accepting new patients
Ali Aboufares Medicine, P.C Past Accepting new patients
Ira R. Hoffman MD and Murray R. Rogers, MD PC Internal Medicine Past Accepting new patients
Park Lenox Medical, PC Internal Medicine Past Accepting new patients
University Group Medical Associates, P.C Internal Medicine Past Accepting new patients

Locations

800A 5th Ave
Ste 206
New York, NY 10065
Phone (212) 755-0037

580 Park Ave
Apt 1B
New York, NY 10065
Phone (212) 755-0037

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JJAGAA/Endpoint/JJAGAA

Organizations & group practices 5

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 9

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": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718236800000",
    "number": "1336186758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 SUTTON PL # 12D",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100222429",
            "telephone_number": "347-351-3315",
            "fax_number": "212-755-0110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 PARK AVE APT 1B",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100657342",
            "telephone_number": "212-755-0037",
            "fax_number": "212-755-0110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALADA",
        "first_name": "VIDYA",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-02",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "218137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.