Individual provider Active NPI

Nikhil Kumar Gupta, M.D.

  • Urology Physician
  • West Nyack, NY
National Provider Identifier
1912298381
Registry record updated Jul 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
303415 Issued in NY
Practice address
2 Medical Park Dr Ste 10
West Nyack, NY 10994-1966
Phone
(845) 354-5000
NPI assigned
Apr 20, 2011
Last updated
Jul 2, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2020

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 303415 NY Primary

Addresses

Primary practice location

2 Medical Park Dr Ste 10
West Nyack, NY 10994-1966

Mailing address

2 Medical Park Dr Ste 10
West Nyack, NY 10994-1966
Phone (845) 354-5000

Other identifiers 1

IdentifierTypeStateIssuer
036141335MedicaidIL

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
I20200805000938 NY Practitioner - Urology 3476849373 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Northwestern University Feinberg Medical School, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

2 Medical Park Dr
Suite 13
West Nyack, NY 10994-1966
Phone (845) 354-5000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.57 of 100Reported as group
Promoting interoperability
100
Improvement activities
40
Cost
75.22

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
303415NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Medical Professionals PLLC Urology CurrentSince Jul 1, 2020 Accepting new patients
Integrated Medical Professionals PLLC Urology CurrentSince Jul 1, 2020 Accepting new patients
Hudson Valley Lithotripsy Associates, P.C. Urology CurrentSince Aug 1, 2023 Accepting new patients

Locations

9010 Strada Stell Ct
Ste 103
Naples, FL 34109
Phone (800) 669-7744

480 Hicksville Rd
Bethpage, NY 11714
Phone (516) 461-2438

340 Broadhollow Rd
Farmingdale, NY 11735
Phone (516) 931-0041

101 S Central Ave
Hartsdale, NY 10530
Phone (516) 461-2428

3111 New Hyde Park Rd
North New Hyde Pk, NY 11042
Phone (516) 365-2300

4100 Duff Pl
#A
Seaford, NY 11783
Phone (516) 520-8080

2 Medical Park Dr
Ste 10
West Nyack, NY 10994
Phone (845) 354-5000

2 Medical Park Dr
Ste 13
West Nyack, NY 10994
Phone (845) 354-5000

Interoperability endpoints

  • Direct secure messaging: ngupta18139@epicdirect.rwjbh.org
  • Direct secure messaging: nikhilgupta@imppllc.allscriptsdirect.net

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1303257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593648000000",
    "number": "1912298381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 MEDICAL PARK DR STE 10",
            "city": "WEST NYACK",
            "state": "NY",
            "postal_code": "109941966",
            "telephone_number": "845-354-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 MEDICAL PARK DR STE 10",
            "city": "WEST NYACK",
            "state": "NY",
            "postal_code": "109941966",
            "telephone_number": "845-354-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "NIKHIL",
        "middle_name": "KUMAR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-20",
        "last_updated": "2020-07-02",
        "certification_date": "2020-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NY",
            "license": "303415",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036141335",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Nyack, NY

Sources for this page

Verify at the official NPI Registry.