Individual provider Active NPI

Gurumurthaiah V Nagabhushana, MD

  • Urology Physician
  • Hornell, NY
National Provider Identifier
1770542276
Registry record updated Apr 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
1261591 Issued in NY
Practice address
470 Canisteo St
Hornell, NY 14843
Phone
(607) 324-4414
Fax
(607) 324-6072
NPI assigned
Mar 22, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 1261591 NY Primary

Addresses

Primary practice location

470 Canisteo St
Hornell, NY 14843

Mailing address

470 Canisteo St
Hornell, NY 14843
Phone (607) 324-4414

Other practice location 1

1001 E 2nd St
Coudersport, PA 16915-8161
Phone (814) 274-7474

Other identifiers 1

IdentifierTypeStateIssuer
00484313MedicaidNY

Other names 1

  • Dr. G V Naga Other name

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
I20080111000444 NY Practitioner - Urology 3678654043 Practice locations: Hornell, NY; Wellsville, NY

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
83.69 of 100Reported as group
Quality
75.14
Promoting interoperability
100
Improvement activities
40
Cost
70.49

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1261591NYMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Charles Cole Memorial Hospital D/B/a Upmc Cole Past Accepting new patients

Organizations & group practices 1

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": "1142985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617235200000",
    "number": "1770542276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "470 CANISTEO ST",
            "city": "HORNELL",
            "state": "NY",
            "postal_code": "14843",
            "telephone_number": "607-324-4414",
            "fax_number": "607-324-6072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 CANISTEO ST",
            "city": "HORNELL",
            "state": "NY",
            "postal_code": "14843",
            "telephone_number": "607-324-4414",
            "fax_number": "607-324-6072"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 E 2nd St",
            "address_purpose": "LOCATION",
            "city": "Coudersport",
            "state": "PA",
            "postal_code": "169158161",
            "country_code": "US",
            "telephone_number": "814-274-7474",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NAGABHUSHANA",
        "first_name": "GURUMURTHAIAH",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-22",
        "last_updated": "2021-04-01",
        "certification_date": "2021-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NY",
            "license": "1261591",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00484313",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "G",
            "last_name": "NAGA",
            "middle_name": "V",
            "prefix": "DR.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hornell, NY

Sources for this page

Verify at the official NPI Registry.