Vishwanath Valagerehally Puttaswamygowda, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

223041 Issued in NY

Practice address

6914 41 St Ave
Unit C1
Woodside, NY 11377

Phone

(718) 308-6918

Fax

(718) 803-2434

NPI assigned

Jul 29, 2009

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Internal Medicine

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Networks

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

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/CJHFBA
• FHIR API: https://fhir4.healow.com/fhir/r4/GBADBA/Endpoint/GBADBA

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.

• Crystal Medical Care,P.C.

  • Internal Medicine Physician
  • Woodside, NY
  • NPI 1689972317
  Medicare reassignment Authorized official
• Dwayne E. Rollins, MD, PC

  • Otolaryngology Physician
  • Saint Albans, NY
  • NPI 1033234828
  NPD (past)
• Empire Medical Group of New York PC

  • Diagnostic Radiology Physician
  • Forest Hills, NY
  • NPI 1821108804
  NPD (past)
• Wyckoff Medical Services, P C

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1558308411
  NPD (past)

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

{
    "created_epoch": "1248825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492732800000",
    "number": "1710118435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6914 41 ST AVE",
            "address_2": "UNIT C1",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "11377",
            "telephone_number": "718-308-6918",
            "fax_number": "718-803-2434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6914 41 ST AVE",
            "address_2": "UNIT C1",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "11377",
            "telephone_number": "718-308-6918",
            "fax_number": "718-803-2434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUTTASWAMYGOWDA",
        "first_name": "VISHWANATH",
        "middle_name": "VALAGEREHALLY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-29",
        "last_updated": "2017-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "223041",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03260455",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Caesar Cruz Preposi, MD
• Carmel Price, SOCIAL WORKER-CLINIC
• Alex Pricop, DDS
• Prime Podiatry PLLC
• Seniha Purisic
• Queens Blvd Ext Care Facility Management LLC
• Queens Blvd Ext Care Facility Management LLC
• Queens Boulevard Chiropractic P.C.
• Queens Boulevard Extended Care Facility
• Queens Boulevard Extended Care Facility Corp

• Internal Medicine Physician in Woodside, NY
• Providers in Woodside, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2017; 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.

Verify at the official NPI Registry.