Organization Active NPI

Ykg Medical P.C.

  • Specialist
  • Troy, NY
National Provider Identifier
1629101613
Registry record updated Dec 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
144890 Issued in NY
Legal business name
YKG MEDICAL P.C.
Practice address
147 Hoosick St Ste a
Troy, NY 12180-2393
Phone
(518) 459-0711
Fax
(518) 275-0646
NPI assigned
Mar 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2025

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

Authorized official

Name
Mr. Yogesh Kumar Gupta, M.D.NPI 1093782559
Title
President
Phone
(518) 459-0711

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 144890 NY Primary

Addresses

Primary practice location

147 Hoosick St Ste a
Troy, NY 12180-2393

Mailing address

5 Sand Creek Rd Ste 200
Albany, NY 12205-1400
Phone (518) 459-0711

Other identifiers 2

IdentifierTypeStateIssuer
00569104MedicaidNY
00730369MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050329001071 NY Part B Supplier - Clinic/Group Practice 2264488576 Receives reassigned benefits from 1 practitioner
Practice locations: Troy, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765497600000",
    "number": "1629101613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 SAND CREEK RD STE 200",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122051400",
            "telephone_number": "518-459-0711",
            "fax_number": "518-275-0646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 HOOSICK ST STE A",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121802393",
            "telephone_number": "518-459-0711",
            "fax_number": "518-275-0646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "YKG MEDICAL P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-13",
        "last_updated": "2025-12-12",
        "certification_date": "2025-12-12",
        "status": "A",
        "authorized_official_last_name": "GUPTA",
        "authorized_official_first_name": "YOGESH",
        "authorized_official_middle_name": "KUMAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "518-459-0711",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "144890",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00569104",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00730369",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.