Individual provider Active NPI

Vinaya Vittal Gaduputi, MD

  • Gastroenterology Physician
  • Clive, IA
National Provider Identifier
1588829188
Registry record updated Feb 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
MD-46821 Issued in IA
Practice address
1601 NW 114TH St Ste 342
Clive, IA 50325-7036
Phone
(515) 222-7600
Fax
(515) 222-7601
NPI assigned
Jul 23, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X MD22816 ME
Gastroenterology Physician 207RG0100X MD-46821 IA Primary

Addresses

Primary practice location

1601 NW 114TH St Ste 342
Clive, IA 50325-7036

Mailing address

PO Box 1475
Des Moines, IA 50305-1475
Phone (515) 222-7600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150826001521 NY Practitioner - GastroenterologyPractitioner - Internal Medicine 0547576282 Reassigns benefits to 5 organizations
I20180130000719 OH Practitioner - GastroenterologyPractitioner - Internal Medicine 0547576282 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Specialty Physicians of Blanchard Valley LLCGroup PAC ID 2668547613, 117 clinicians
Essen Medical Associates, PCGroup PAC ID 1759353501, 264 clinicians

Practice addresses (Care Compare)

1818 Chapel Dr
Suite C
Findlay, OH 45840-1344
Phone (419) 429-7637

2015 Grand Concourse
Bronx, NY 10453-4303
Phone (718) 299-7295

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy174
Upper gastrointestinal (GI) endoscopy for acid reflux185

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Essen Medical Associates, PC Current Accepting new patients
Specialty Physicians of Blanchard Valley LLC Gastroenterology CurrentSince May 25, 2019 Accepting new patients
Bronx Medical Practice P.C. CurrentSince Dec 26, 2024 Accepting new patients
House Call Medical Services of New York, PLLC CurrentSince Dec 26, 2024 Accepting new patients
1211 WPR Medical Services PC CurrentSince Jan 1, 2019 Accepting new patients
SBH Physicians, PC Gastroenterology CurrentSince Jul 1, 2015 Accepting new patients
Essen Medical Associates, PC CurrentSince Dec 26, 2024 Accepting new patients
Shakespeare Operating LLC CurrentSince Dec 26, 2024 Accepting new patients
SBH Physicians, PC CurrentSince Jul 1, 2015 Accepting new patients
Essen Medical Associates,PC CurrentSince Dec 26, 2024 Accepting new patients

Locations

1250 Shakespeare Ave
Bronx, NY 10452
Phone (646) 350-1633

111 E 210th St
Bronx, NY 10467

1211 White Plains Rd
Bronx, NY 10472
Phone (718) 409-1338

2015 Grand Concourse
Bronx, NY 10453
Phone (718) 294-6200

1371 Seabury Ave
Bronx, NY 10461
Phone (718) 294-6200

2505 Grand Ave
Bronx, NY 10468
Phone (718) 295-1400

8989 Union Tpke
Ste A
Glendale, NY 11385
Phone (718) 746-0400

1818 Chapel Dr
Ste C
Findlay, OH 45840
Phone (419) 420-7304

1900 S Main St
Findlay, OH 45840
Phone (419) 423-4500

Networks

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

Organizations & group practices 10

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 2

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": "1216771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580688000000",
    "number": "1588829188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1475",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503051475",
            "telephone_number": "515-222-7600",
            "fax_number": "515-222-7601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 NW 114TH ST STE 342",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "503257036",
            "telephone_number": "515-222-7600",
            "fax_number": "515-222-7601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GADUPUTI",
        "first_name": "VINAYA",
        "middle_name": "VITTAL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-23",
        "last_updated": "2020-02-03",
        "certification_date": "2020-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "ME",
            "license": "MD22816",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "IA",
            "license": "MD-46821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clive, IA

Sources for this page

Verify at the official NPI Registry.