DEEPAK VADADA MD NPI 1003042672

Internal Medicine (Gastroenterology) in Staten Island, NY

NPI 1003042672 Individual Male Years of Experience 17 Internal Medicine Gastroenterology PECOS Enrolled Accepts Medicare Approved Payment

About DEEPAK VADADA

Deepak Vadada is an internal medicine provider established in Staten Island, New York and his medical specialization is internal medicine (gastroenterology) with more than 17 years of experience. The NPI number of Deepak Vadada is 1003042672 and was assigned on June 2009. The practitioner's primary taxonomy code is 207RG0100X with license number AL4088604171 (NY). The provider is registered as an individual and his NPI record was last updated 2 years ago.

An internist like Deepak Vadada Md is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Deepak Vadada is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices

Deepak Vadada is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with Staten Island University Hospital and Richmond University Medical Center.

NPI

1003042672

Provider Name DEEPAK VADADA MD
Provider Location Address1050 CLOVE RD STATEN ISLAND, NY 10301
Provider Mailing Address55 WATER STREET 2ND FLOOR CRED DEPT NEW YORK, NY 10041
GenderMale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year2005
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date06-09-2009
Last Update Date10-01-2019


Primary Taxonomy

Taxonomy Code207RG0100X
ClassificationInternal Medicine
TypeAllopathic & Osteopathic Physicians
SpecializationGastroenterology
License No.AL4088604171
License StateNY
Taxonomy DescriptionAn internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

Business Address

DEEPAK VADADA MD
1050 CLOVE RD
STATEN ISLAND, NY
ZIP 10301
Phone: (718) 816-6440
Fax: (718) 816-3611

Get Directions


Mailing Address

DEEPAK VADADA MD
55 WATER STREET
2ND FLOOR CRED DEPT
NEW YORK, NY
ZIP 10041
Phone: (646) 680-2888
Fax: (516) 542-5556



Secondary Locations

4771 Hylan Blvd
Staten Island, NY 10312
(718) 948-8200

Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID6103096508
PECOS Enrollment IDI20110823000029
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Deepak Vadada is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
STATEN ISLAND UNIVERSITY HOSPITAL475 SEAVIEW AVENUE
STATEN ISLAND, NY 10305
(418) 226-9761Acute Care Hospitals330160
RICHMOND UNIVERSITY MEDICAL CENTER355 BARD AVENUE
STATEN ISLAND, NY 10310
(718) 818-1234Acute Care Hospitals330028

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
03351342MEDICAID (05)NY

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1083673677 MARCELINA MEDRANO MD
Individual
Pediatrics1050 CLOVE RD
STATEN ISLAND, NY 10301
(718) 816-6440
1508825498 GUSTAV LUNDBERG MD
Individual
Pediatrics1050 CLOVE RD
STATEN ISLAND, NY 10301
(718) 816-6440
1225090665 KYUNG YOO MD
Individual
Internal Medicine1050 CLOVE RD
STATEN ISLAND, NY 10301
(718) 816-6440
1225090418 SUBRAHMANIAN RAMANATHAN MD
Individual
Internal Medicine1050 CLOVE RD
STATEN ISLAND, NY 10301
(718) 816-6440
1104888924 MAHMOUD HAMID MD
Individual
Emergency Medicine1050 CLOVE RD
STATEN ISLAND, NY 10301
(718) 816-6440
1144287533 MARIA LOURDES BUNAG MD
Individual
Internal Medicine1050 CLOVE RD
STATEN ISLAND, NY 10301
(718) 816-6440
1649221417 SHAMIM SALMAN MD
Individual
Internal Medicine (Hematology & Oncology)1050 CLOVE RD
STATEN ISLAND, NY 10301
(718) 816-6440
1992732283 JEANMARIE TARI NP
Individual
Nurse Practitioner (Family)1050 CLOVE RD
STATEN ISLAND, NY 10301
(718) 816-6440
1235218918DR. JEFFREY ALAN KOHN M.D.
Individual
Internal Medicine (Cardiovascular Disease)1050 CLOVE RD
STATEN ISLAND, NY 10301
(718) 819-3710
1932248184MR. STEVEN ALAN RUDD M.D.
Individual
Radiology (Diagnostic Radiology)1050 CLOVE RD
STATEN ISLAND, NY 10301
(718) 816-6440
1245359769MS. CHRISTINE A RIVAS NP
Individual
Nurse Practitioner (Adult Health)1050 CLOVE RD
STATEN ISLAND, NY 10301
(718) 816-6440
1255539144MS. MARJORIE JEANNE RICO M.D., PH.D.
Individual
Ophthalmology1050 CLOVE RD
STATEN ISLAND, NY 10301
(718) 816-6440
1548453913 SONYA MORETTI CRNP
Individual
Nurse Practitioner (Women's Health)1050 CLOVE RD STATEN ISLAND PHYSICIAN PRACTICE
STATEN ISLAND, NY 10301
(718) 816-6440
1811228927MS. LISA MARIE GEOLY RPH
Individual
Pharmacist1050 CLOVE RD
STATEN ISLAND, NY 10301
(718) 816-3672
1790003226MR. ANUP A PATEL P.T.
Individual
Physical Therapist1050 CLOVE RD
STATEN ISLAND, NY 10301
(718) 816-6440
1033419304 ASHRAF SABRY HANNA MD
Individual
Internal Medicine1050 CLOVE RD
STATEN ISLAND, NY 10301
(718) 816-6440
1336432186MS. JENNIFER CATHERINE GIOIA R.PH
Individual
Pharmacist1050 CLOVE RD
STATEN ISLAND, NY 10301
(718) 816-6440
1790773299MR. WILLIAM A. COOK M.D.
Individual
Specialist1050 CLOVE RD
STATEN ISLAND, NY 10301
(718) 816-6440
1780645739 MUSHTAQ MEMON MD
Individual
Family Medicine1050 CLOVE RD
STATEN ISLAND, NY 10301
(718) 816-6440
1699889337 BRUCE LEE BERMAN M.D.
Individual
Internal Medicine (Geriatric Medicine)1050 CLOVE RD
STATEN ISLAND, NY 10301
(718) 816-6440

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.