Individual provider Active NPI

Pei Gao, M.D.

  • Internal Medicine Physician
  • Flushing, NY
National Provider Identifier
1427326065
Registry record updated Aug 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
266380 Issued in NY
Practice address
3916 Prince St Ste 257
Flushing, NY 11354-5367
Phone
(718) 353-4280
Fax
(718) 353-1862
NPI assigned
Dec 10, 2011
Last updated
Aug 11, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2022

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 266380 NY Primary

Addresses

Primary practice location

3916 Prince St Ste 257
Flushing, NY 11354-5367

Mailing address

3916 Prince St Ste 257
Flushing, NY 11354-5367
Phone (718) 353-4280

Other identifiers 1

IdentifierTypeStateIssuer
46-1256370MedicaidNY

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
I20121214000320 NY Practitioner - Internal Medicine 2769634914 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2004
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

3916 Prince St
Suite 257
Flushing, NY 11354-5367
Phone (718) 353-4280

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
266380NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthland Medical Care PLLC CurrentSince Dec 17, 2017 Accepting new patients
Mobile Medical Doc. P.C. Internal Medicine Past Accepting new patients
Harbin Medical Care PLLC Internal Medicine PastSince Jul 3, 2013 Accepting new patients

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1323475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660176000000",
    "number": "1427326065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3916 PRINCE ST STE 257",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545367",
            "telephone_number": "718-353-4280",
            "fax_number": "718-353-1862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3916 PRINCE ST STE 257",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545367",
            "telephone_number": "718-353-4280",
            "fax_number": "718-353-1862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAO",
        "first_name": "PEI",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-10",
        "last_updated": "2022-08-11",
        "certification_date": "2021-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "266380",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "46-1256370",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.