Individual provider Active NPI

Weiyi Gao, MD

  • Neurology Physician
  • Flushing, NY
National Provider Identifier
1760642961
Registry record updated Sep 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
258320 Issued in NY
Practice address
13668 Roosevelt Ave Ste 4C
Flushing, NY 11354-5510
Phone
(917) 563-1697
Fax
(917) 563-1804
NPI assigned
Jun 11, 2008
Last updated
Sep 20, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 258320 NY
Neurology Physician 2084N0400X 258320 NY Primary

Addresses

Primary practice location

13668 Roosevelt Ave Ste 4C
Flushing, NY 11354-5510

Mailing address

83 Somerset Dr S
Great Neck, NY 11020-1821
Phone (917) 563-1697

Other practice location 1

13636 39th Ave Ste 3
Flushing, NY 11354-5576
Phone (917) 563-1697

Other practice location 2

10 Union Sq E
Suite 5D
New York, NY 10003
Phone (212) 844-6354

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
I20110613000332 NY Practitioner - Neurology 3971780354 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

13636 39TH Ave
Suite 3
Flushing, NY 11354-5576
Phone (917) 563-1697

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
258320NYMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mount Sinai School of Medicine Internal Medicine CurrentSince Nov 5, 2020 Accepting new patients
Mount Sinai School of Medicine CurrentSince Nov 5, 2020 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Jan 1, 2016 Accepting new patients
Weiyi Gao Medical PLLC Neurology CurrentSince May 9, 2018 Accepting new patients
Gu & Gao Medical PLLC CurrentSince Sep 29, 2019 Accepting new patients
United Cerebral Palsy of New York City Inc CurrentSince May 30, 2013 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Jan 1, 2016 Accepting new patients
Department of Neurology Professional Services Group/Slrhc Neurology Past Accepting new patients

Locations

175 Lawrence Ave
Brooklyn, NY 11230
Phone (718) 436-7600

13636 39th Ave
Ste 3
Flushing, NY 11354
Phone (646) 345-1263

13668 Roosevelt Ave
Ste 4C
Flushing, NY 11354
Phone (646) 345-1263

10 Union Sq E
Ste 5D
New York, NY 10003
Phone (212) 844-6944

1000 10th Ave
New York, NY 10019
Phone (212) 523-2369

150 E 42nd St
Fl 10
New York, NY 10017
Phone (646) 605-8119

80 Maiden Ln
Fl 12
New York, NY 10038

1 Healthy Way
Oceanside, NY 11572
Phone (516) 255-1581

Networks

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

Organizations & group practices 8

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": "1213142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568937600000",
    "number": "1760642961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "83 SOMERSET DR S",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "110201821",
            "telephone_number": "917-563-1697",
            "fax_number": "917-563-1804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13668 ROOSEVELT AVE STE 4C",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545510",
            "telephone_number": "917-563-1697",
            "fax_number": "917-563-1804"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13636 39th Ave Ste 3",
            "address_purpose": "LOCATION",
            "city": "Flushing",
            "state": "NY",
            "postal_code": "113545576",
            "country_code": "US",
            "telephone_number": "917-563-1697",
            "fax_number": "917-563-1804",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10 Union Sq E",
            "address_2": "Suite 5D",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "10003",
            "country_code": "US",
            "telephone_number": "212-844-6354",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAO",
        "first_name": "WEIYI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-11",
        "last_updated": "2019-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "258320",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "258320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.