Individual provider Active NPI

Viyada Sarabanchong, MD

  • Gastroenterology Physician
  • Pomona, NY
National Provider Identifier
1679646343
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
195951 Issued in NY
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.

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
GastroenterologyAlso: Internal Medicine
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. 19 clinicians
Montefiore Nyack Hospital 21 clinicians
Gastrointestinal Care of Long Island PLLC 175 clinicians
Bon Secours Charity Health System Medical Group, P.C. 157 clinicians

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 Hospital, Suffern, NY, CCN 330158
  • Nyack Hospital Hospital, Nyack, NY, CCN 330104

Merit-based Incentive Payment System (MIPS)

Final score
18.51 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
61.7

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy208
Upper gastrointestinal (GI) endoscopy for acid reflux143

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
Green means eligible to order or refer.

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20101013000793 NY Practitioner - GastroenterologyPractitioner - Internal Medicine 1153513841 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
195951NYMDGastroenterology Physician

Practice roles (6 of 10)

OrganizationSpecialtyStatusNew patients
Gastrointestinal Care of Long Island PLLC Gastroenterology CurrentSince Jan 12, 2024 Accepting new patients
Laboratory Medicine Associates, LLP Current Accepting new patients
Highland Medical P.C. CurrentSince Feb 1, 2026 Accepting new patients
Montefiore Nyack Hospital CurrentSince Jul 1, 2025 Accepting new patients
Montefiore Nyack Hospital CurrentSince Jul 1, 2025 Accepting new patients
Bon Secours Charity Health System Medical Group, P.C. Gastroenterology CurrentSince Nov 10, 2025 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

  • Direct secure messaging: viyada.sarabanchong.1@24721.direct.athenahealth.com
  • Direct secure messaging: viyada.sarabanchong@ddar.eclinicaldirectplus.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 195951 NY Primary

Addresses

NPPES NPI Registry

Primary 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
IdentifierTypeStateIssuer
01517046MedicaidNY

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

Verify at the official NPI Registry.