Active NPI
Padmanabh U Paddu, MD
- Gastroenterology Physician
- Woodside, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 135522
- Practice address
- 4902 Queens Blvd
Lower Level
Woodside, NY 11377-4444 - Phone
- (718) 784-4502
- Fax
- (718) 784-5180
- NPI assigned
- Jun 12, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 135522 | NY | Primary |
Addresses
Primary practice location
4902 Queens Blvd
Lower Level
Woodside, NY 11377-4444
Mailing address
4902 Queens Blvd Lowr Level
Woodside, NY 11377-4444
Phone (718) 784-4502
Other practice location 1
8221 Baxter Ave
Elmhurst, NY 11373-1350
Phone (718) 784-4502
Other names 1
- Padmanabh U Paddu
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
- Gastroenterology
- Education
- Other, 1973
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
10201 66TH Rd
Forest Hills, NY 11375-2029
Phone (718) 830-4000
4902 Queens Blvd
Woodside, NY 11377-4444
Phone (718) 784-4502
Hospital & facility affiliations
- Long Island Jewish Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mount Sinai Hospital | Current | Accepting new patients | |
| Paddu & Associates Medical LLP | Gastroenterology | Current | Accepting new patients |
| The Mount Sinai Hospital | Current | Accepting new patients | |
| Boro Medical, P.C. | Gastroenterology | Past | Accepting new patients |
| North Shore-Lij Medical PC | Past | Accepting new patients | |
| Booth Medical Associates PC | Gastroenterology | Past | Accepting new patients |
| Boro Medical, P.C. | Gastroenterology | Past | Accepting new patients |
| Jeffrey Schneller DPM PC | Past | Accepting new patients |
Locations
5645 Main St
Flushing, NY 11355
Phone (718) 670-1435
2715 30th Ave
Long Island City, NY 11102
Phone (718) 267-4808
2510 30th Ave
Long Island City, NY 11102
Phone (718) 267-4245
4902 Queens Blvd
Lowr
Woodside, NY 11377
Phone (718) 729-1952
4902 Queens Blvd
Ste 2
Woodside, NY 11377
Phone (929) 296-6790
4902 Queens Blvd
Woodside, NY 11377
Phone (718) 205-0550
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
Organizations & group practices 8
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.
-
- Gastroenterology Physician
- Woodside, NY
- NPI 1033389317
-
- Urology Physician
- Great Neck, NY
- NPI 1053688572
-
- General Acute Care Hospital
- Long Island City, NY
- NPI 1013948595
-
- Community/Retail Pharmacy
- Astoria, NY
- NPI 1588408421
-
- Podiatrist
- Sunnyside, NY
- NPI 1366798381
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- New Hyde Park, NY
- NPI 1285641514
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777507200000",
"number": "1497797708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4902 QUEENS BLVD LOWR LEVEL",
"city": "WOODSIDE",
"state": "NY",
"postal_code": "113774444",
"telephone_number": "718-784-4502",
"fax_number": "718-784-5180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4902 QUEENS BLVD",
"address_2": "LOWER LEVEL",
"city": "WOODSIDE",
"state": "NY",
"postal_code": "113774444",
"telephone_number": "718-784-4502",
"fax_number": "718-784-5180"
}
],
"practiceLocations": [
{
"address_1": "8221 Baxter Ave",
"address_purpose": "LOCATION",
"city": "Elmhurst",
"state": "NY",
"postal_code": "113731350",
"country_code": "US",
"telephone_number": "718-784-4502",
"fax_number": "718-784-5180",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PADDU",
"first_name": "PADMANABH",
"middle_name": "U",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-12",
"last_updated": "2026-04-30",
"certification_date": "2026-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "NY",
"license": "135522",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "PADMANABH",
"last_name": "PADDU",
"middle_name": "U",
"credential": "MD",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Woodside, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2026; 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.