Active NPI
Zana Nikolla, M.D.
- Gastroenterology Physician
- Poughkeepsie, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 253887
- Practice address
- 243 North Rd Ste 304
Poughkeepsie, NY 12601-1173 - Phone
- (845) 471-9410
- Fax
- (845) 451-7757
- NPI assigned
- Aug 31, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 253887 | NY | Primary |
Addresses
Primary practice location
243 North Rd Ste 304
Poughkeepsie, NY 12601-1173
Mailing address
243 North Rd
Ste 304
Poughkeepsie, NY 12601-1173
Phone (845) 451-7251
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03137024 | Medicaid | NY |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
243 N Rd
Poughkeepsie, NY 12601-1173
696 Dutchess Tpke
Poughkeepsie, NY 12603-6444
Phone (845) 454-8200
Hospital & facility affiliations
- Vassar Brothers Medical Center
- Westchester Medical Center
- Northern Dutchess Hospital
- Putnam Hospital Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 143 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 143 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 253887 | NY | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sun River Health Inc | Current | Accepting new patients | |
| Premier Medical Group of the Hudson Valley, P.C. | Current | Accepting new patients | |
| Premier Medical Group of the Hudson Valley P.C. | Gastroenterology | Current | Accepting new patients |
| 21 Reade Place ASC LLC | Past | Accepting new patients |
Locations
3360 Route 343
Amenia, NY 12501
Phone (845) 373-9006
243 North Rd
Ste 304
Poughkeepsie, NY 12601
Phone (845) 451-7251
21 Reade Pl
Ste 3300
Poughkeepsie, NY 12601
Phone (845) 454-0222
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
Interoperability endpoints
- znikolla@premiermedicalhv.medentdirect.com
Organizations & group practices 4
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.
-
- Urology Physician
- Poughkeepsie, NY
- NPI 1255437166
Gastroenterology
-
- Federally Qualified Health Center (FQHC)
- Amenia, NY
- NPI 1568526838
-
- Podiatrist
- Wappingers Falls, NY
- NPI 1467290130
-
- Endoscopy Clinic/Center
- Poughkeepsie, NY
- NPI 1902215148
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Rhinebeck, NY
- NPI 1124072715
-
- General Acute Care Hospital
- Carmel, NY
- NPI 1972557379
-
- General Acute Care Hospital
- Poughkeepsie, NY
- NPI 1740233899
-
- General Acute Care Hospital
- Valhalla, NY
- NPI 1932280666
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1545955200000",
"number": "1881827368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "243 NORTH RD",
"address_2": "STE 304",
"city": "POUGHKEEPSIE",
"state": "NY",
"postal_code": "126011173",
"telephone_number": "845-451-7251",
"fax_number": "845-451-7757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "243 NORTH RD STE 304",
"city": "POUGHKEEPSIE",
"state": "NY",
"postal_code": "126011173",
"telephone_number": "845-471-9410",
"fax_number": "845-451-7757"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIKOLLA",
"first_name": "ZANA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-08-31",
"last_updated": "2018-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "NY",
"license": "253887",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03137024",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Poughkeepsie, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.