Individual provider Active NPI

Sunithi Krishnan Vinay, M.D

  • Nephrology Physician
  • Staten Island, NY
National Provider Identifier
1477576288
Registry record updated Jun 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
001887 Issued in NY
Practice address
78 Todt Hill Road
Suite 204
Staten Island, NY 10314-1031
Phone
(917) 830-0228
Fax
(888) 720-0487
NPI assigned
Jul 25, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 21, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 001887 NY Primary

Addresses

Primary practice location

78 Todt Hill Road
Suite 204
Staten Island, NY 10314-1031

Mailing address

78 Todt Hill Road
Suite 204
Staten Island, NY 10314-7034
Phone (917) 830-0228

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
I20040319000014 NY Practitioner - NephrologyPractitioner - Internal Medicine 4385534692 Practice locations: Staten Island, NY

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

78 Todt Hill Rd
Suite 204
Staten Island, NY 10314-4528
Phone (917) 830-0228

Hospital & facility affiliations

  • Carol Molinaro Dialysis Center Dialysis facility, Staten Island, NY, CCN 332625
  • Staten Island Dialysis Clinic/ Akc Dialysis facility, Staten Island, NY, CCN 332567
  • Richmond University Medical Center Hospital, Staten Island, NY, CCN 330028

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
001887NYMDArt Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Quest Wellness Center PastSince Jun 27, 2021 Accepting new patients
Richmond University Medical Center Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: skrishnan66896@northwell.direct-ci.com

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 3

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": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624233600000",
    "number": "1477576288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78 TODT HILL ROAD",
            "address_2": "SUITE 204",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103147034",
            "telephone_number": "917-830-0228",
            "fax_number": "888-720-0487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78 TODT HILL ROAD",
            "address_2": "SUITE 204",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103141031",
            "telephone_number": "917-830-0228",
            "fax_number": "888-720-0487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINAY",
        "first_name": "SUNITHI",
        "middle_name": "KRISHNAN",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-25",
        "last_updated": "2021-06-21",
        "certification_date": "2021-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "001887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

Verify at the official NPI Registry.