Individual provider Active NPI

Celine R. Gounder, MD, SCM

  • Internal Medicine Physician
  • New York, NY
National Provider Identifier
1629104302
Registry record updated Mar 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
264863-1 Issued in NY
Practice address
230 W 17TH St FL 7
New York, NY 10011-5368
Phone
(212) 523-6500
Fax
(212) 523-8555
NPI assigned
Feb 26, 2007
Last updated
Mar 27, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2013

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X D0070468 MD
Infectious Disease Physician 207RI0200X 264863-1 NY
Internal Medicine Physician 207R00000X 264863-1 NY Primary

Addresses

Primary practice location

230 W 17TH St FL 7
New York, NY 10011-5368

Mailing address

230 W 17TH St FL 7
New York, NY 10011-5368
Phone (212) 523-6500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, WV2 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
I20170913003432 TX Practitioner - Internal MedicinePractitioner - Infectious Disease 1153515796 Reassigns benefits to 3 organizations
I20171221002592 WV Practitioner - Internal Medicine 1153515796 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0070468MDMDInfectious Disease Physician
264863-1NYMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alaska Native Tribal Health Consortium CurrentSince Nov 17, 2017 Accepting new patients
DHHS IHS Phoenix Area Current Accepting new patients
Hospitalist Medicine Physicians of West Virginia, PLLC Internal Medicine CurrentSince Oct 10, 2017 Accepting new patients
DHHS IHS Phoenix Area CurrentSince Jul 11, 2017 Accepting new patients
DHHS,PHS,Naihs, Gallup Indian Medical Center CurrentSince Oct 18, 2017 Accepting new patients
New York City Health and Hospitals Corporation Internal Medicine Past Accepting new patients

Locations

4000 Ambassador Dr
Anchorage, AK 99508
Phone (907) 729-1900

4315 Diplomacy Dr
Anchorage, AK 99508
Phone (907) 729-1729

516 E Nizhoni Blvd
Gallup, NM 87301
Phone (505) 722-1326

2500 Hospital Dr
Martinsburg, WV 25401
Phone (304) 233-4134

4605 Maccorkle Ave SW
South Charleston, WV 25309
Phone (304) 414-4800

Networks

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

Interoperability endpoints

  • Direct secure messaging: cgounder676175@nychhc.direct-ci.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364342400000",
    "number": "1629104302",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 W 17TH ST FL 7",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100115368",
            "telephone_number": "212-523-6500",
            "fax_number": "212-523-8555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 W 17TH ST FL 7",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100115368",
            "telephone_number": "212-523-6500",
            "fax_number": "212-523-8555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOUNDER",
        "first_name": "CELINE",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "MD, SCM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-26",
        "last_updated": "2013-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "MD",
            "license": "D0070468",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NY",
            "license": "264863-1",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "264863-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.