NPIMap

Individual provider Active NPI

Santosh Vaghela, M.D.

  • Pulmonary Disease Physician
  • Saratoga Springs, NY
National Provider Identifier
1699186718
Registry record updated Jul 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
308203 Issued in NY
Practice address
19 West Ave Ste 101
Saratoga Springs, NY 12866-6052
Phone
(518) 693-4635
Fax
(518) 682-3001
NPI assigned
May 12, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2021

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 61373 CT
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 61373 CT
Pulmonary Disease Physician 207RP1001X 61373 CT
Hospitalist Physician 208M00000X 61373 CT
Student in an Organized Health Care Education/Training Program 390200000X
Pulmonary Disease Physician 207RP1001X 308203 NY Primary

Addresses

Primary practice location

19 West Ave Ste 101
Saratoga Springs, NY 12866-6052

Mailing address

PO Box 412655
Boston, MA 02241-2655
Phone (518) 693-4635

Other practice location 1

8 Medical Park Dr Ste 202
Malta, NY 12020-5050
Phone (518) 693-4635

Other practice location 2

161 Carey Rd Bldg 2
Queensbury, NY 12804-7821
Phone (518) 932-0242

Other identifiers 1

IdentifierTypeStateIssuer
05416688MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210804001272 NY Practitioner - Critical Care (Intensivists)Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 8123377140 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)Also: Internal Medicine, Pulmonary Disease
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St. Mary'S HealthcareGroup PAC ID 7618960709, 114 clinicians

Practice addresses (Care Compare)

425 Guy Park Ave
Amsterdam, NY 12010-1043
Phone (518) 770-7568

Hospital & facility affiliations

  • St Marys Healthcare Hospital, Amsterdam, NY, CCN 330047
  • Nathan Littauer Hospital Hospital, Gloversville, NY, CCN 330276
  • Ellis Hospital Hospital, Schenectady, NY, CCN 330153
  • Saratoga Hospital Hospital, Saratoga Springs, NY, CCN 330222
  • Albany Medical Center Hospital Hospital, Albany, NY, CCN 330013

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
61373CTMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saratoga Hospital Internal Medicine Current Accepting new patients
Saratoga Hospital Internal Medicine CurrentSince Jun 30, 2021 Accepting new patients
St. Mary'S Healthcare CurrentSince Jul 1, 2024 Accepting new patients
Saratoga Hospital CurrentSince Jun 30, 2021 Accepting new patients
St Marys Healthcare CurrentSince Jul 1, 2024 Accepting new patients
Saratoga Hospital Internal Medicine Current Accepting new patients
Saratoga Hospital Current Accepting new patients
Saratoga Hospital Current Accepting new patients

Locations

380 Guy Park Ave
Amsterdam, NY 12010
Phone (518) 841-7415

427 Guy Park Ave
Amsterdam, NY 12010
Phone (518) 442-1404

425 Guy Park Ave
Ste 300
Amsterdam, NY 12010

425 Guy Park Ave
Amsterdam, NY 12010
Phone (518) 842-3330

425 Guy Park Ave
Ste 302
Amsterdam, NY 12010
Phone (518) 841-7432

8 Medical Park Dr
Ste 202
Malta, NY 12020
Phone (518) 580-2185

1275 Broadway
Menands, NY 12204
Phone (518) 262-9705

161 Carey Rd
#2
Queensbury, NY 12804
Phone (518) 932-0242

211 Church St
Saratoga Springs, NY 12866
Phone (518) 583-8461

1 West Ave
Ste 300
Saratoga Springs, NY 12866
Phone (518) 693-4699

3044 Route 50
Saratoga Springs, NY 12866
Phone (518) 886-5800

19 West Ave
Ste 101
Saratoga Springs, NY 12866
Phone (518) 587-3438

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 29

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1399852800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626220800000",
    "number": "1699186718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 412655",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022412655",
            "telephone_number": "518-693-4635",
            "fax_number": "518-682-3001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 WEST AVE STE 101",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128666052",
            "telephone_number": "518-693-4635",
            "fax_number": "518-682-3001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8 Medical Park Dr Ste 202",
            "address_purpose": "LOCATION",
            "city": "Malta",
            "state": "NY",
            "postal_code": "120205050",
            "country_code": "US",
            "telephone_number": "518-693-4635",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "161 Carey Rd Bldg 2",
            "address_purpose": "LOCATION",
            "city": "Queensbury",
            "state": "NY",
            "postal_code": "128047821",
            "country_code": "US",
            "telephone_number": "518-932-0242",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAGHELA",
        "first_name": "SANTOSH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-12",
        "last_updated": "2021-07-14",
        "certification_date": "2021-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "61373",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "CT",
            "license": "61373",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CT",
            "license": "61373",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CT",
            "license": "61373",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NY",
            "license": "308203",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05416688",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saratoga Springs, NY

Sources for this page

Verify at the official NPI Registry.