Mridula Dogra, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

155101 Issued in NY

Practice address

4264 Kissena Blvd
Flushing, NY 11355-3213

Phone

(718) 445-0455

Fax

(718) 445-0456

NPI assigned

Mar 8, 2006

Sex

Female

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• CMC Radiological Services PC

  • Diagnostic Radiology Physician
  • Jamaica, NY
  • NPI 1285780502
  NPD (past)

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1329091200000",
    "number": "1730157702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4264 KISSENA BLVD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553213",
            "telephone_number": "718-445-0455",
            "fax_number": "718-445-0456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4264 KISSENA BLVD",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113553213",
            "telephone_number": "718-445-0455",
            "fax_number": "718-445-0456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOGRA",
        "first_name": "MRIDULA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-08",
        "last_updated": "2012-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "155101",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00834304",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vincent Emil Doctor III, PT
• Dodam Acupuncture and Physical Therapy PLLC
• Jessica Dodobayeva
• Amit K. Dogra, D.M.D.
• Ashok Kumar Dogra, DDS
• Dohyung Kim Physical Therapy PC
• Dawa Dolma
• Gigliola Maria Dolmaian, MD
• Hazel-Ann Patricia Domiano, RPH
• Alfredo Donaire

• Pediatrics Physician in Flushing, NY
• Providers in Flushing, NY by specialty
• Pediatrics Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2012; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.