Kavita Vasu, M.D.
Individual provider Active NPI Psychiatry Physician · Elmhurst, NY
NPI 1740419092 · NPPES record last updated Oct 9, 2018
Key facts
- NPI
- 1740419092
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychiatry Physician 2084P0800X
- License
- MD465735 (PA)
- Practice address
- 7901 Broadway
Elmhurst Hospital Medical Center
Elmhurst, NY 11373-1329 - Phone
- (718) 334-1502
- Fax
- (718) 334-2522
- NPI assigned
- Jul 8, 2009
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 23
Medicare Care Compare profile
- Specialty
- Psychiatry
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Union Community Care
Practice addresses (Care Compare)
515 Hershey Ave
Lancaster, PA 17603-5752
Phone (717) 299-6371
584 Springville Rd
New Holland, PA 17557-9564
Phone (717) 299-6371
625 S Duke St
Lancaster, PA 17602-4509
Phone (717) 299-6371
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in PA, NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20181112000197 | PA | Practitioner - Psychiatry | 4789868464 | Reassigns benefits to 2 organizations |
| I20220209002423 | NY | Practitioner - Psychiatry | 4789868464 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD465735 | PA | MD | Psychiatry Physician |
| 0101265512 | VA | MD | Psychiatry Physician |
| 003349 | NY | MD | Child & Adolescent Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Union Community Care | Current |
Accepting new patients | |
| MCCD Psychiatry Services PLLC | Psychiatry | Current |
Accepting new patients |
| Union Community Care | Current |
Accepting new patients | |
| Union Community Care | Past | Accepting new patients | |
| Union Community Care | Past | Accepting new patients | |
| Union Community Care | Past | Accepting new patients | |
| Union Community Care | Past | Accepting new patients |
Locations
109 W 27th St
Rm 5S
New York, NY 10001
Phone (332) 230-4572
304 N Water St
Lancaster, PA 17603
Phone (717) 299-6372
515 Hershey Ave
Lancaster, PA 17603
Phone (305) 317-0291
625 S Duke St
Lancaster, PA 17602
Phone (717) 299-6372
802 New Holland Ave
Ste 200
Lancaster, PA 17602
Phone (717) 291-0700
920 Church St
Lebanon, PA 17046
Phone (717) 272-2700
435 S Kinzer Ave
Ste 6
New Holland, PA 17557
Phone (717) 351-2400
584 Springville Rd
New Holland, PA 17557
Phone (717) 354-4711
1900 Market St
Ofc 6167
Philadelphia, PA 19103
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 0101265512 | VA | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | 003349 | NY | |
| Psychiatry Physician | 2084P0800X | MD465735 | PA | Yes |
Addresses
Primary practice location
7901 Broadway
Elmhurst Hospital Medical Center
Elmhurst, NY 11373-1329
Mailing address
7901 Broadway
Elmhurst Hospital Medical Center
Elmhurst, NY 11373-1329
Phone (718) 334-1502
Other providers in Elmhurst, NY
- Darlene Vargas Bravo
- Maria E Vargas
- Rafael Anibal Vargas
- Manuel Alejandro Vasquez Franjul
- Stephanie Kari Vasquez
- Mena Vavasis
- Ved Bahlani Dental P.C
- Coralys Mercedes Vega
- Wanda Velez-Baez
- Leidy Tatiana Velilla
All providers in Elmhurst, NY · Psychiatry Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 9, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.