Active NPI
David Gudis, MD
- Otolaryngology Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 278963
- Practice address
- 180 Fort Washington Ave FL 7
New York, NY 10032-3722 - Phone
- (212) 305-8555
- Fax
- (212) 305-3975
- NPI assigned
- Jul 14, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Otolaryngology Physician | 207YP0228X | 35832 | SC | |
| Student in an Organized Health Care Education/Training Program | 390200000X | MT193549 | PA | |
| Otolaryngology Physician | 207Y00000X | 278963 | NY | Primary |
Addresses
Primary practice location
180 Fort Washington Ave FL 7
New York, NY 10032-3722
Mailing address
180 Fort Washington Ave FL 8
New York, NY 10032-3722
Phone (212) 305-8555
Other practice location 1
171 Ashley Ave
Charleston, SC 29425-8908
Phone (843) 792-1414
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Otolaryngology
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Trustees of Columbia University in the City of New York
Practice addresses (Care Compare)
51 W 51St St
FL 3 Suite 360
New York, NY 10019-6113
Phone (212) 326-8426
622 W 168TH St
New York, NY 10032-3720
Phone (212) 305-4931
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 85.32
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35832 | SC | MD | Pediatric Otolaryngology Physician |
| MT193549 | PA | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trustees of Columbia University in the City of New York | Current | Accepting new patients | |
| Trustees of Columbia University in the City of New York | Otolaryngology | Current | Accepting new patients |
| Trustees of Columbia University in the City of New York | Otolaryngology | Current | Accepting new patients |
| Trustees of Columbia University in the City of New York | Past | Accepting new patients |
Locations
161 Fort Washington Ave
New York, NY 10032
Phone (212) 305-8559
180 Fort Washington Ave
New York, NY 10032
Phone (212) 305-3535
180 Fort Washington Ave
Fl 8
New York, NY 10032
Phone (212) 305-5820
622 W 168th St
New York, NY 10032
Phone (212) 305-4931
180 Fort Washington Ave
Fl 7
New York, NY 10032
Phone (212) 305-5242
51 W 51st St
Ste 360
New York, NY 10019
Phone (212) 326-8415
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
Interoperability endpoints
- dag9119@direct.nyp.org
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
- https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Organizations & group practices 4
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.
-
- Surgery Physician
- New York, NY
- NPI 1508266347
Otolaryngology
-
- Internal Medicine Physician
- Fort Lee, NJ
- NPI 1982993184
NY, Otolaryngology
-
- Internal Medicine Physician
- New York, NY
- NPI 1699289488
-
- Early Intervention Provider Agency
- New York, NY
- NPI 1740899715
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba New York Presbyterian Hospital
- General Acute Care Hospital
- New York, NY
- NPI 1144504044
-
dba New York-Presbyterian Hospital
- Ambulance
- New York, NY
- NPI 1174628473
Hospital
-
dba NewYork-Presbyterian Hospital
- General Acute Care Hospital
- New York, NY
- NPI 1194832477
-
- General Acute Care Hospital
- Bronxville, NY
- NPI 1780196345
-
dba New York-Presbyterian Hospital
- General Acute Care Hospital
- New York, NY
- NPI 1952332801
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215993600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521158400000",
"number": "1699939249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "180 FORT WASHINGTON AVE FL 8",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100323722",
"telephone_number": "212-305-8555",
"fax_number": "212-305-3975"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "180 FORT WASHINGTON AVE FL 7",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100323722",
"telephone_number": "212-305-8555",
"fax_number": "212-305-3975"
}
],
"practiceLocations": [
{
"address_1": "171 Ashley Ave",
"address_purpose": "LOCATION",
"city": "Charleston",
"state": "SC",
"postal_code": "294258908",
"country_code": "US",
"telephone_number": "843-792-1414",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GUDIS",
"first_name": "DAVID",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-07-14",
"last_updated": "2018-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "207YP0228X",
"taxonomy_group": "",
"desc": "Otolaryngology, Pediatric Otolaryngology",
"state": "SC",
"license": "35832",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "PA",
"license": "MT193549",
"primary": false
},
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "NY",
"license": "278963",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2018; 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.