Gaurav Jaswal, MD
Individual provider Active NPI Family Medicine Physician · Homer, NY
NPI 1609258680 · NPPES record last updated Mar 11, 2021
Key facts
- NPI
- 1609258680
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 298630 (NY)
- Practice address
- 82 Copeland Ave
Homer, NY 13077-1528 - Phone
- (607) 753-1025
- Fax
- (607) 753-1285
- NPI assigned
- Jun 25, 2015
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 10
Hospital & facility affiliations 9
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- General Physician PC
South Texas Hospitalist Associates LLC
Guthrie Medical Group PC
Practice addresses (Care Compare)
100 High St
Buffalo, NY 14203-1126
Phone (716) 859-1400
1025 Garner Field Rd
Uvalde, TX 78801-4809
Phone (830) 278-6251
4077 W Rd
Cortland, NY 13045-1637
Phone (607) 753-9977
Hospital & facility affiliations
- Guthrie Cortland Regional Medical Center
- Uvalde Memorial Hospital
- Corning Hospital
- Kaleida Health
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NY, TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190808002007 | NY | Practitioner - Family Practice |
6103132766 | Reassigns benefits to 2 organizations |
| I20251002001381 | TX | Practitioner - Family Practice | 6103132766 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Guthrie Medical Group, P.C. | Family Medicine | Current |
Accepting new patients |
| General Physician, PC | Current |
Accepting new patients | |
| Guthrie Medical Group, P.C. | Current |
Accepting new patients | |
| South Texas Hospitalist Associates LLC | Current |
Accepting new patients | |
| Victoria Emergency Associates LLC | Past | Accepting new patients | |
| Guthrie Medical Group PC | Past | Accepting new patients | |
| Guthrie Cortland Medical Center | Past | Accepting new patients | |
| Corning Hospital | Past | Accepting new patients |
Locations
100 High St
Buffalo, NY 14203
Phone (716) 632-3700
130 Center Way
Corning, NY 14830
Phone (607) 936-9971
4077 West Rd
Cortland, NY 13045
Phone (607) 753-9977
134 Homer Ave
Cortland, NY 13045
Phone (607) 756-3500
3898 Vineyard Dr
Dunkirk, NY 14048
Phone (716) 363-1515
82 Copeland Ave
Homer, NY 13077
Phone (607) 749-2640
1540 Maple Rd
Williamsville, NY 14221
Phone (716) 568-3514
1 Guthrie Sq
Sayre, PA 18840
Phone (570) 887-3106
1025 Garner Field Rd
Uvalde, TX 78801
Phone (830) 278-6254
Interoperability endpoints
- gjaswal161513@direct-guthrie.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 298630 | NY | Yes |
| Family Medicine Physician | 207Q00000X | RL13703 | ND |
Addresses
Primary practice location
82 Copeland Ave
Homer, NY 13077-1528
Mailing address
1 Guthrie SQ
Sayre, PA 18840-1625
Phone (570) 888-5858
Other practice location 1
725 Hamline St
Grand Forks, ND 58203-2819
Phone (701) 780-6810
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | gjaswal161513@direct-guthrie.org | Direct |
Other providers in Homer, NY
- Homer Central School District
- Homer Chiropractic, PC
- Homer Physical Therapy, PC
- Katherine Hughes
- Intuitive Psychotherapy, LCSW, PLLC
- Jordan T. Young, NP in Psychiatry, PLLC
- Semra Zeynep Kecelioglu
- Krista C Keeler
- Kelly D. Mayer LMHC PLLC
- Stephanie Koslowski
All providers in Homer, NY · Family Medicine Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 11, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.