Individual provider Active NPI

Sireen M Gopal, M.D.

  • Specialist
  • Bronx, NY
National Provider Identifier
1720183551
Registry record updated May 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
201895 Issued in NY
Practice address
1250 Waters PL Ste 710
Bronx, NY 10461-2733
Phone
(718) 794-0600
Fax
(718) 684-5728
NPI assigned
Sep 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 1, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X
SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 174400000X 201895 NY Primary

Addresses

Primary practice location

1250 Waters PL Ste 710
Bronx, NY 10461-2733

Mailing address

1250 Waters PL Ste 710
Bronx, NY 10461-2733
Phone (718) 794-0600

Other practice location 1

984 N Broadway Ste 510
Yonkers, NY 10701-1308
Phone (718) 794-0600

Other practice location 2

800 2nd Ave Fl 9
New York, NY 10017-4709
Phone (718) 794-0600

Other identifiers 1

IdentifierTypeStateIssuer
1688444MedicaidNY

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
I20070522000006 NY Practitioner - Physical Medicine and RehabilitationPractitioner - Interventional Pain ManagementPractitioner - Pain Management 6204933575 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Pain Management
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New York Spine and Sport Rehabilitation Medicine PCGroup PAC ID 9537050125, 3 clinicians

Practice addresses (Care Compare)

1250 Waters PL
Suite 710
Bronx, NY 10461-2733
Phone (718) 794-0600

984 N Broadway
Suite 510
Yonkers, NY 10701-1308
Phone (718) 794-0600

Merit-based Incentive Payment System (MIPS)

Final score
36.98 of 100Reported as individual
Quality
25
Improvement activities
0
Cost
74.69

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
New York Spine & Sport Rehabilitation Medicine P.C. Specialist CurrentSince Mar 14, 2001 Accepting new patients
New York Advanced Surgical Intervention Care, PLLC Single Specialty PastSince Jul 11, 2007 Accepting new patients
New York Medicine Interventions, PLLC Single Specialty PastSince Oct 7, 2017 Accepting new patients

Locations

1250 Waters Pl
Ste 710
Bronx, NY 10461
Phone (718) 684-5727

2008 Eastchester Rd
Ste A
Bronx, NY 10461
Phone (718) 794-0600

2008 Eastchester Rd
#A
Bronx, NY 10461
Phone (718) 794-0600

800 2nd Ave
Fl 9
New York, NY 10017
Phone (212) 539-0257

984 N Broadway
Ste 510
Yonkers, NY 10701
Phone (718) 794-0600

Networks

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

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.

NPI Registry JSON

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746057600000",
    "number": "1720183551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 WATERS PL STE 710",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104612733",
            "telephone_number": "718-794-0600",
            "fax_number": "718-684-5728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 WATERS PL STE 710",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104612733",
            "telephone_number": "718-794-0600",
            "fax_number": "718-684-5728"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "984 N Broadway Ste 510",
            "address_purpose": "LOCATION",
            "city": "Yonkers",
            "state": "NY",
            "postal_code": "107011308",
            "country_code": "US",
            "telephone_number": "718-794-0600",
            "fax_number": "718-684-5728",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 2nd Ave Fl 9",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100174709",
            "country_code": "US",
            "telephone_number": "718-794-0600",
            "fax_number": "718-684-5728",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOPAL",
        "first_name": "SIREEN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2025-05-01",
        "certification_date": "2025-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "NY",
            "license": "201895",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1688444",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.