VAIBHAVI UMESH M.D., M.S.
NPI 1174055990
Obstetrics & Gynecology in Stony Brook, NY

Q: What is Vaibhavi Umesh's NPI number?

The NPI number for Vaibhavi Umesh is 1174055990. It was assigned to this individual provider in the NPPES registry on March 30, 2017.

Q: What is Vaibhavi Umesh's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Vaibhavi Umesh was last updated on October 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since March 30, 2017PECOS EnrolledAccepts Medicare Assignment

98.52/100

CMS Quality Rating

101 NICOLLS RD, DEPARTMENT OF OB/GYN, HSC, T9, STONY BROOK, NY 11794(631) 444-4686(631) 444-4622 Get Directions Write a Review

NPPES record last updated: October 14, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 14, 2021, Mar 30, 2017 (2 updates tracked since 2017).

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About Vaibhavi Umesh M.d., M.s. NPPES

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

VAIBHAVI UMESH M.D., M.S. (NPI 1174055990) is an individual obstetrics & gynecology provider in Stony Brook, New York, licensed in New York (309548) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS, is affiliated with Suny/stony Brook University Hospital, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1174055990

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameVAIBHAVI UMESHCredential: M.D., M.S.

Location Address101 NICOLLS RD, DEPARTMENT OF OB/GYN, HSC, T9Stony Brook, NY 11794-8091

Mailing Address3 Ringo RdPort Jefferson Station, NY 11776-1815

Phone(631) 444-4686

Fax(631) 444-4622

Sole ProprietorNo

Medical School CMSOtherGraduated 2017

Enumeration DateMarch 30, 2017

Last NPPES UpdateOctober 14, 20212 updates tracked since enumeration

NPPES CertifiedOctober 14, 2021

✔ NPI 1174055990 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in NY · 309548

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

101 NICOLLS RD, Stony Brook, NY 11794

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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

Vaibhavi Umesh M.d., M.s. 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 ID3173851656

PECOS Enrollment IDI20210804001259

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.

Hospital Affiliations CMS Care Compare

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

Suny/Stony Brook University Hospital

Acute Care Hospitals · Stony Brook, NY

4/5 CMS rating

OwnershipGovernment - State

CMS Certification Number330393

LocationHealth Sciences Center SunyStony Brook, NY 11794 · Suffolk County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11794 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

$154.28 typical visit price

range $67.40 – $203.53

Typical copayment $38.57 (range $16.85 – $50.88)

Most-billed visit code 99204

Established Patient

$83.44 typical visit price

range $21.66 – $164.45

Typical copayment $20.86 (range $5.41 – $41.11)

Most-billed visit code 99213

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.

98.52/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

82.85

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 20

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

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