Individual provider Active NPI

Kavita Vasu, M.D.

  • Psychiatry Physician
  • Elmhurst, NY
National Provider Identifier
1740419092
Registry record updated Oct 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD465735 Issued in 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
Last updated
Oct 9, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 0101265512 VA
Child & Adolescent Psychiatry Physician 2084P0804X 003349 NY
Psychiatry Physician 2084P0800X MD465735 PA Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20181112000197 PA Practitioner - Psychiatry 4789868464 Reassigns benefits to 2 organizations
I20220209002423 NY Practitioner - Psychiatry 4789868464 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Union Community CareGroup PAC ID 8123914322, shared by 22 NPIs, 20 clinicians

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD465735PAMDPsychiatry Physician
0101265512VAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
MCCD Psychiatry Services PLLC Psychiatry CurrentSince Mar 5, 2022 Accepting new patients
Union Community Care CurrentSince Nov 29, 2022 Accepting new patients
Union Community Care CurrentSince Nov 29, 2022 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

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1247011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539043200000",
    "number": "1740419092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7901 BROADWAY",
            "address_2": "ELMHURST HOSPITAL MEDICAL CENTER",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113731329",
            "telephone_number": "718-334-1502",
            "fax_number": "718-334-2522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7901 BROADWAY",
            "address_2": "ELMHURST HOSPITAL MEDICAL CENTER",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113731329",
            "telephone_number": "718-334-1502",
            "fax_number": "718-334-2522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VASU",
        "first_name": "KAVITA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-08",
        "last_updated": "2018-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0101265512",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NY",
            "license": "003349",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD465735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, NY

Sources for this page

Verify at the official NPI Registry.