Active NPI
Viyada Sarabanchong, MD
- Gastroenterology Physician
- Pomona, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 195951
- Practice address
- 974 Route 45
Suite 2000
Pomona, NY 10970-3520 - Phone
- (845) 354-3700
- Fax
- (845) 354-5573
- NPI assigned
- Nov 17, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 8
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.
-
- Internal Medicine Physician
- Warwick, NY
- NPI 1487694345
Gastroenterology, NY
-
- Gastroenterology Physician
- Massapequa, NY
- NPI 1265571863
Gastroenterology, NY
-
- General Acute Care Hospital
- Nyack, NY
- NPI 1104808062
-
- Home Health Agency
- New City, NY
- NPI 1538180559
-
- Psychiatric Hospital Unit
- Nyack, NY
- NPI 1922405190
-
- Anatomic Pathology & Clinical Pathology Physician
- Nyack, NY
- NPI 1740251578
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Columbia University College of Physicians and Surgeons, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Highland Medical P.C.Montefiore Nyack HospitalGastrointestinal Care of Long Island PLLCBon Secours Charity Health System Medical Group, P.C.
Practice addresses (Care Compare)
160 N Midland Ave
Nyack, NY 10960-1912
Phone (845) 348-2198
187 Veterans Blvd
Massapequa, NY 11758-4982
Phone (516) 795-5523
255 Lafayette Ave
Suffern, NY 10901-4812
Phone (845) 368-5000
974 Route 45
Suite 2000
Pomona, NY 10970-3517
Phone (845) 354-3700
Hospital & facility affiliations
- Good Samaritan Hospital of Suffern
- Nyack Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 18.51 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 61.7
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 208 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 143 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101013000793 | NY | Practitioner - Gastroenterology | 1153513841 | Reassigns benefits to 4 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 195951 | NY | MD | Gastroenterology Physician |
Practice roles (6 of 10)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gastrointestinal Care of Long Island PLLC | Gastroenterology | Current | Accepting new patients |
| Laboratory Medicine Associates, LLP | Current | Accepting new patients | |
| Highland Medical P.C. | Current | Accepting new patients | |
| Montefiore Nyack Hospital | Current | Accepting new patients | |
| Montefiore Nyack Hospital | Current | Accepting new patients | |
| Bon Secours Charity Health System Medical Group, P.C. | Gastroenterology | Current | Accepting new patients |
Locations
187 Veterans Blvd
Massapequa, NY 11758
Phone (516) 795-5523
187 Veterans Blvd
#13202
Massapequa, NY 11758
Phone (516) 795-5523
160 N Midland Ave
Nyack, NY 10960
Phone (845) 348-2000
974 Route 45
Ste 2000
Pomona, NY 10970
Phone (845) 354-3700
255 Lafayette Ave
Suffern, NY 10901
Phone (845) 357-7830
20 Grand St
Fl 3
Warwick, NY 10990
Phone (845) 987-3901
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
Interoperability endpoints
- viyada.sarabanchong.1@24721.direct.athenahealth.com
- viyada.sarabanchong@ddar.eclinicaldirectplus.com
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 195951 | NY | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
974 Route 45
Suite 2000
Pomona, NY 10970-3520
Mailing address
974 Route 45
Suite 2000
Pomona, NY 10970-3520
Phone (845) 354-3700
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01517046 | Medicaid | NY |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.
{
"created_epoch": "1163721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1679646343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "974 ROUTE 45",
"address_2": "SUITE 2000",
"city": "POMONA",
"state": "NY",
"postal_code": "109703520",
"telephone_number": "845-354-3700",
"fax_number": "845-354-5573"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "974 ROUTE 45",
"address_2": "SUITE 2000",
"city": "POMONA",
"state": "NY",
"postal_code": "109703520",
"telephone_number": "845-354-3700",
"fax_number": "845-354-5573"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SARABANCHONG",
"first_name": "VIYADA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "NY",
"license": "195951",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01517046",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pomona, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.