Individual provider Active NPI

Rammohan Gumpeni, M.D

  • Pulmonary Disease Physician
  • Flushing, NY
National Provider Identifier
1710069158
Registry record updated Aug 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
111523-1 Issued in NY
Practice address
5645 Main St
#Wa 100
Flushing, NY 11355-5045
Phone
(718) 670-1405
Fax
(718) 461-2943
NPI assigned
Oct 19, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 111523 NY
Pulmonary Disease Physician 207RP1001X 111523-1 NY Primary

Addresses

Primary practice location

5645 Main St
#Wa 100
Flushing, NY 11355-5045

Mailing address

7568 187TH St
Fresh Meadows, NY 11366-1726
Phone (718) 670-1405

Other identifiers 18

IdentifierTypeStateIssuer
0C048POtherHIP
11P6421OtherNYPRESBYTERIAN CHP
000197150101OtherHEALTHPLUS
0074822OtherGHI PPO
11-3347168OtherMULTIPLAN
124016OtherAETNA HMO
160039OtherELDERPLAN
4231839OtherAETNA PPO / POS
10209256OtherAMERIGROUP
100027142401OtherUNITED HEALTHCARE
5C6148OtherHEALTHNET
DS486OtherOXFORD
000000106306OtherGHI HMO
00200793MedicaidNY
000084001OtherAMERICHOICE
061205476GU01OtherFAMILY HEALTH PLUS
431637NOtherCIGNA
693961OtherEMPIRE BC/BS

Electronic endpoints 3

TypeEndpointUseAffiliation
FHIR URL https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Health Information Exchange (HIE)
FHIR URL https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/ Health Information Exchange (HIE)
Direct Messaging Address rag9008@direct.nyp.org Direct

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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090211000765 NY Practitioner - Pulmonary DiseasePractitioner - Internal Medicine 8527123389 Reassigns benefits to 2 organizations
Practice locations: Flushing, NY

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Internal Medicine
Education
Other, 1968
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New York Queens Medicine and Surgery, P.C.Group PAC ID 4082883673, 401 clinicians

Practice addresses (Care Compare)

18219 Horace Harding Expy
Fresh Meadows, NY 11365-2242
Phone (718) 670-2903

Hospital & facility affiliations

  • New York-Presbyterian/Queens Hospital, Flushing, NY, CCN 330055

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
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

LicenseStateTypeSpecialty
111523-1NYMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Newyork-Presbyterian/Queens CurrentSince Jan 1, 1999 Accepting new patients
Newyork-Presbyterian-Queens CurrentSince Jan 1, 1999 Accepting new patients

Locations

5645 Main St
Flushing, NY 11355
Phone (718) 670-1435

5645 Main St
#100
Flushing, NY 11355
Phone (718) 670-1180

18219 Horace Harding Expy
Fresh Meadows, NY 11365
Phone (718) 670-1415

16303 Horace Harding Expy
Fl 2
Fresh Meadows, NY 11365
Phone (718) 888-9121

17561 Hillside Ave
Ste 402
Jamaica, NY 11432
Phone (718) 670-1021

1981 Marcus Ave
Ste 208
North New Hyde Park, NY 11042
Phone (718) 670-1415

Networks

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

Organizations & group practices 3

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 4

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

NPI Registry JSON

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

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            "fax_number": "718-819-5388"
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    "practiceLocations": [],
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        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
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            "state": null
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            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BC/BS",
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            "endpointType": "DIRECT",
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            "affiliation": "N",
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            "use": "DIRECT",
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}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.