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DR. NILI GUJADHUR M.D.
NPI 1003887258
Internal Medicine - Infectious Disease in Poughkeepsie, NY

Active since January 27, 2006PECOS EnrolledAccepts Medicare Assignment
94.24/100
CMS Quality Rating
9 LIVINGSTON ST, SUITE 4N, POUGHKEEPSIE, NY 12601(845) 471-0232 Get Directions Write a Review

NPPES record last updated: July 24, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 24, 2018, Dec 28, 2016 (2 updates tracked since 2016).

About Dr. Nili Gujadhur M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. NILI GUJADHUR M.D. (NPI 1003887258) is an individual infectious disease provider in Poughkeepsie, New York, licensed in New York (223139) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS, is affiliated with Vassar Brothers Medical Center, and maintains a secondary practice location in Poughkeepsie.

NPPES Registry Identity

NPI1003887258
Entity TypeIndividualFemale
Primary Taxonomy207RI0200X
Provider Legal NameDR. NILI GUJADHURCredential: M.D.
Location Address9 LIVINGSTON ST, SUITE 4NPoughkeepsie, NY 12601
Mailing Address21 Reade Pl Ste 1100Poughkeepsie, NY 12601-3986 · (845) 474-0556
Phone(845) 471-0232
Sole ProprietorNo
Medical School CMSOtherGraduated 1989
Enumeration DateJanuary 27, 2006
Last NPPES UpdateJuly 24, 20182 updates tracked since enumeration
✔ NPI 1003887258 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License✔ Licensed in NY · 223139
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
Also ListedInternal MedicineTaxonomy 207R00000X · License 223139 (NY)
9 LIVINGSTON ST, Poughkeepsie, NY 12601
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Secondary Practice Location 1

Location 19 Livingston St, Suite 4NPoughkeepsie, NY 12601-4719 · Phone (845) 471-0232

Other Identifiers 1

Medicaid02208400NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Nili Gujadhur M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9931246097
PECOS Enrollment IDI20091021000621
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
660 services340 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
485 services438 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
359 services153 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
104 services74 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
51 services50 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
22 services20 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Vassar Brothers Medical Center

Acute Care Hospitals · Poughkeepsie, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330023
Location45 Reade PlacePoughkeepsie, NY 12601 · Dutchess County
Emergency services Birthing friendly

Northern Dutchess Hospital

Acute Care Hospitals · Rhinebeck, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330049
Location6511 Springbrook AvenueRhinebeck, NY 12572 · Dutchess County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12601 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$141.77 typical visit price
range $61.88 – $187.05
Typical copayment $35.44 (range $15.47 – $46.76)
Most-billed visit code 99204
Established Patient
$108.56 typical visit price
range $19.92 – $151.94
Typical copayment $27.14 (range $4.98 – $37.98)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.24/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.26
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Diabetes: Medical Attention for Nephropathy
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
85%74 patients4/55-star benchmark: 99%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
99%603 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
81%226 patients2/55-star benchmark: 99%
Falls: Screening for Future Fall Risk
Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period
10%140 patients1/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
97%72 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
59%379 patients3/55-star benchmark: 97%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
79%366 patients4/55-star benchmark: 97%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
24%59 patients2/55-star benchmark: 88%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
80%379 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
25%379 patients2/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
14%379 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KIMBERLY ANN HELLER MD
Obstetrics & Gynecology (Maternal & Fetal Medicine)
9 LIVINGSTON ST, SUITE 4N
POUGHKEEPSIE, NY 12601
Dutchess County (845) 431-6800
STUART A. FEINSTEIN, M.D., P.C.
Internal Medicine (Infectious Disease)
9 LIVINGSTON ST, SUITE 4N
POUGHKEEPSIE, NY 12601
Dutchess County (845) 471-0232
JACK GOODMAN, M.D. PC
Specialist
9 LIVINGSTON ST, SUITE 9
POUGHKEEPSIE, NY 12601
Dutchess County (845) 454-0415
AXIS MEDICAL PLLC
Internal Medicine
9 LIVINGSTON ST, SUITE 2-S
POUGHKEEPSIE, NY 12601
Dutchess County (845) 473-8996
ADVANCED KIDNEY CARE OF HUDSON VALLEY, PC
Internal Medicine (Nephrology)
9 LIVINGSTON ST, SUITE 1N
POUGHKEEPSIE, NY 12601
Dutchess County (845) 471-1335
ALLEYNE FRASER M.D.
Neurological Surgery
9 LIVINGSTON ST, SUITE 5S
POUGHKEEPSIE, NY 12601
Dutchess County (845) 343-0139
HEALTH QUEST MEDICAL PRACTICE
Psychiatry & Neurology (Psychiatry)
9 LIVINGSTON ST, SUITE 4S - MARY TOWER
POUGHKEEPSIE, NY 12601
Dutchess County (845) 483-6654
DR. TANIA BARRERAS-CRUZ MD
Psychiatry & Neurology (Psychiatry)
9 LIVINGSTON ST
POUGHKEEPSIE, NY 12601
Dutchess County (845) 483-6654

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nili Gujadhur's NPI number?

The NPI number for Nili Gujadhur is 1003887258. It was assigned to this individual provider in the NPPES registry on January 27, 2006.

Where is Nili Gujadhur located?

Nili Gujadhur practices at 9 Livingston St Suite 4N, Poughkeepsie, NY 12601. The listed phone number is (845) 471-0232.

What is Nili Gujadhur's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Nili Gujadhur enrolled in Medicare?

Yes. Nili Gujadhur is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Nili Gujadhur affiliated with any hospitals?

According to CMS data, Nili Gujadhur is affiliated with Vassar Brothers Medical Center and Northern Dutchess Hospital.

When was this NPI record last updated?

The NPPES record for Nili Gujadhur was last updated on July 24, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.