Active NPI
Eastern Pain Medicine PC
- Pain Medicine (Anesthesiology) Physician
- Fishkill, NY
National Provider Identifier
1831475896
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- 225874
- Legal business name
- EASTERN PAIN MEDICINE PC
- Practice address
- 1003 Main St
Fishkill, NY 12524-1786 - Phone
- (845) 471-0013
- Fax
- (845) 613-2493
- NPI assigned
- Oct 21, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Vimala Upadhyayula
- Title
- Manager
- Phone
- (845) 471-0014
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 225874 | NY | Primary |
Addresses
Primary practice location
1003 Main St
Fishkill, NY 12524-1786
Mailing address
1003 Main St
Fishkill, NY 12524-1786
Phone (845) 471-0013
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03482024 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 33D2083303 | Eastern Pain Medicine PC | Certificate of waiver | Sep 2, 2026 |
National Provider Directory
National Provider DirectoryLocations
1003 Main St
Fishkill, NY 12524
Phone (845) 291-3656
30 Reade Pl
Poughkeepsie, NY 12601
Phone (845) 214-1096
66 Middlebush Rd
Ste G101
Wappingers Falls, NY 12590
Phone (845) 471-0013
Practitioners & affiliated clinicians
Practitioners 34
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pain Medicine (Anesthesiology) Physician
- Fishkill, NY
- NPI 1952309460
-
- Anesthesiology Physician
- Poughkeepsie, NY
- NPI 1376541946
-
- Family Nurse Practitioner
- New Windsor, NY
- NPI 1649533985
-
- Anesthesiology Physician
- Poughkeepsie, NY
- NPI 1346248929
-
- Anesthesiology Physician
- Poughkeepsie, NY
- NPI 1184669475
-
- Family Nurse Practitioner
- Middletown, NY
- NPI 1801967484
-
- Anesthesiology Physician
- Poughkeepsie, NY
- NPI 1417985557
-
- Certified Registered Nurse Anesthetist
- Albany, NY
- NPI 1952309478
-
- Certified Registered Nurse Anesthetist
- Poughkeepsie, NY
- NPI 1124026653
-
- Certified Registered Nurse Anesthetist
- Kingston, NY
- NPI 1851370308
-
- Anesthesiology Physician
- Poughkeepsie, NY
- NPI 1952630998
-
- Anesthesiology Physician
- Poughkeepsie, NY
- NPI 1245238690
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319155200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1585094400000",
"number": "1831475896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1003 MAIN ST",
"city": "FISHKILL",
"state": "NY",
"postal_code": "125241786",
"telephone_number": "845-471-0013",
"fax_number": "845-613-2493"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1003 MAIN ST",
"city": "FISHKILL",
"state": "NY",
"postal_code": "125241786",
"telephone_number": "845-471-0013",
"fax_number": "845-613-2493"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EASTERN PAIN MEDICINE PC",
"organizational_subpart": "NO",
"enumeration_date": "2011-10-21",
"last_updated": "2020-03-25",
"certification_date": "2020-03-25",
"status": "A",
"authorized_official_last_name": "UPADHYAYULA",
"authorized_official_first_name": "VIMALA",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "845-471-0014",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology, Pain Medicine",
"state": "NY",
"license": "225874",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03482024",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fishkill, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.