NPIMap

Individual provider Active NPI

Farshad Elmi, MD

  • Gastroenterology Physician
  • Poughkeepsie, NY
National Provider Identifier
1477535797
Registry record updated Apr 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
257341 Issued in NY
Practice address
243 North Rd Ste 304
Poughkeepsie, NY 12601-1173
Phone
(845) 471-9410
Fax
(845) 451-7757
NPI assigned
Nov 14, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 257341 NY Primary

Addresses

Primary practice location

243 North Rd Ste 304
Poughkeepsie, NY 12601-1173

Mailing address

243 North Rd Ste 304
Poughkeepsie, NY 12601-1173
Phone (845) 471-9410

Other identifiers 1

IdentifierTypeStateIssuer
03265996MedicaidNY

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
I20101109001143 NY Practitioner - GastroenterologyPractitioner - Internal Medicine 2961554571 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Medical Group of the Hudson Valley PCGroup PAC ID 3072575109, 134 clinicians

Practice addresses (Care Compare)

243 N Rd
Suite 304
Poughkeepsie, NY 12601-1173
Phone (845) 471-9410

Hospital & facility affiliations

  • Vassar Brothers Medical Center Hospital, Poughkeepsie, NY, CCN 330023
  • Westchester Medical Center Hospital, Valhalla, NY, CCN 330234
  • Northern Dutchess Hospital Hospital, Rhinebeck, NY, CCN 330049

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy118
Upper gastrointestinal (GI) endoscopy for acid reflux174

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
257341NYMDGastroenterology Physician

Practice roles (5 of 9)

OrganizationSpecialtyStatusNew patients
Sun River Health Inc. CurrentSince Aug 12, 2013 Accepting new patients
Premier Medical Group of the Hudson Valley, P.C. CurrentSince Sep 1, 2010 Accepting new patients
Premier Medical Group of the Hudson Valley P.C. Gastroenterology CurrentSince Sep 1, 2010 Accepting new patients
Sun River Health Inc CurrentSince Aug 12, 2013 Accepting new patients
21 Reade Place ASC LLC Past Accepting new patients

Locations

3360 Route 343
Amenia, NY 12501
Phone (845) 373-9006

243 North Rd
Ste 304
Poughkeepsie, NY 12601
Phone (845) 451-7251

21 Reade Pl
Ste 3300
Poughkeepsie, NY 12601
Phone (845) 454-0222

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: felmi@premiermedicalhv.medentdirect.com

Organizations & group practices 7

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 4

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": "1131926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429747200000",
    "number": "1477535797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "243 NORTH RD STE 304",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126011173",
            "telephone_number": "845-471-9410",
            "fax_number": "845-451-7757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "243 NORTH RD STE 304",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126011173",
            "telephone_number": "845-471-9410",
            "fax_number": "845-451-7757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELMI",
        "first_name": "FARSHAD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-14",
        "last_updated": "2015-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "257341",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03265996",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Poughkeepsie, NY

Sources for this page

Verify at the official NPI Registry.