NPIMap

Individual provider Active NPI

Asha Pandu, MD

  • Internal Medicine Physician
  • Albany, NY
National Provider Identifier
1528595147
Registry record updated Aug 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
305331 Issued in NY
Practice address
178 Washington Avenue Ext # MC-58
Albany, NY 12203-5304
Phone
(518) 262-5735
Fax
(518) 262-5743
NPI assigned
May 13, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X 305331 NY Primary

Addresses

Primary practice location

178 Washington Avenue Ext # MC-58
Albany, NY 12203-5304

Mailing address

11A King Fisher LN
Clifton Park, NY 12065-4656
Phone (518) 450-9306

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
I20200814002380 NY Practitioner - Internal Medicine 9537585930 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Albany Medical CollegeGroup PAC ID 1759293111, 1,054 clinicians

Practice addresses (Care Compare)

178 Washington Ave Ext
Albany, NY 12203-5304
Phone (518) 439-8077

Hospital & facility affiliations

  • Vna Home Health Home health agency, Albany, NY, CCN 337019
  • Albany Medical Center Hospital Hospital, Albany, NY, CCN 330013
  • St Peter'S Hospital Hospital, Albany, NY, CCN 330057

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Albany Medical College Internal Medicine Current Accepting new patients
Albany Medical College Internal Medicine CurrentSince Jul 1, 2020 Accepting new patients
Albany Medical College CurrentSince Jul 1, 2020 Accepting new patients
Albany Medical College CurrentSince Jul 1, 2020 Accepting new patients

Locations

178 Washington Avenue Ext
#58
Albany, NY 12203
Phone (518) 262-5735

47 New Scotland Ave
Albany, NY 12208
Phone (518) 262-3773

178 Washington Avenue Ext
Albany, NY 12203
Phone (518) 262-5735

Interoperability endpoints

  • Direct secure messaging: apandu19320@albanymed.direct-ci.com

Organizations & group practices 4

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 8

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": "1494633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596758400000",
    "number": "1528595147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11A KING FISHER LN",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120654656",
            "telephone_number": "518-450-9306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "178 WASHINGTON AVENUE EXT # MC-58",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122035304",
            "telephone_number": "518-262-5735",
            "fax_number": "518-262-5743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANDU",
        "first_name": "ASHA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-13",
        "last_updated": "2020-08-07",
        "certification_date": "2020-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "305331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.