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DR. VIJAY B. GOPAL M.D.
NPI 1336158187
Internal Medicine in Huntington, NY

Active since August 07, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 33D0669428 · Waiver
76 E MAIN ST, STE 1, HUNTINGTON, NY 11743(631) 424-1170(631) 424-1171 Get Directions Write a Review

NPPES record last updated: June 25, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Vijay B. Gopal M.d. NPPES

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

DR. VIJAY B. GOPAL M.D. (NPI 1336158187) is an individual internal medicine provider in Huntington, New York, licensed in New York (238113) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through February 29, 2028, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1336158187
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. VIJAY B. GOPALCredential: M.D.
Location Address76 E MAIN ST, STE 1Huntington, NY 11743-2837
Mailing Address76 E Main St, Ste 1Huntington, NY 11743-2837 · (631) 424-1170 · Fax (631) 424-1171
Phone(631) 424-1170
Fax(631) 424-1171
Sole ProprietorYes
Medical School CMSOtherGraduated 1998
Enumeration DateAugust 7, 2006
Last NPPES UpdateJune 25, 2018
✔ NPI 1336158187 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NY · 238113
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
76 E MAIN ST, Huntington, NY 11743
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Vijay B. Gopal 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 ID5597761569
PECOS Enrollment IDI20061014000007
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Vijay Gopal reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Quality Medical Fitness, PC
3.7 mi
Internal Medicine
389 FORT SALONGA RD STE 3
Northport, NY 11768
  • Reassigned Medicare billing, New York enrollment
  • 3 clinicians in this Medicare group
NPI 1366816415 (631) 424-1170
Brij M. Sharma Physician P.C
14 mi
Specialist
216 WILLIS AVE
Roslyn Heights, NY 11577
  • Reassigned Medicare billing, New York enrollment
  • 2 clinicians in this Medicare group
NPI 1780979179 (516) 484-1333

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D0669428

Vijay B Gopal Physician PC · Roslyn Heights, NY
Active · expires Feb 29, 2028
CLIA Number33D0669428
Laboratory TypePhysician Office
Certificate Effective DateMarch 1, 2026
Certificate Expiration DateFebruary 29, 2028
Laboratory DirectorDr. Vijay B. Gopal
Laboratory Phone(631) 424-1170
Laboratory LocationVijay B Gopal Physician PC216 Willis Avenue, Suite 101, Roslyn Heights, NY 11577
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

Therapeutic procedures to increase strength or endurance of respiratory muscles, face to face, one on one, each 15 minutes (includes monitoring) G0237
This procedure involves exercises to boost the strength and endurance of your breathing muscles. It's a one-on-one, 15-minute session that includes monitoring your progress. The goal is to improve your respiratory function and overall health.
6,311 services55 patients
Outpatient heart rehabilitation with electrocardiogram (ecg) monitoring, quality health care professional services 93798
Outpatient heart rehabilitation involves regular visits to a clinic for heart health improvement after a cardiac event. During these sessions, an electrocardiogram (ECG) monitors heart activity, while healthcare professionals provide personalized care and education on lifestyle changes, ensuring a safe recovery and reducing future heart risks.
3,304 services134 patients
Therapeutic procedures to improve respiratory function, other than described by g0237, one on one, face to face, per 15 minutes (includes monitoring) G0238
This procedure involves specialized techniques to enhance your respiratory function. It's a one-on-one, face-to-face session lasting for 15 minutes. During this time, your progress will be closely monitored. The strategies used are different from those in procedure G0237.
1,641 services64 patients
Professional services for outpatient pulmonary rehabilitation with continuous monitoring of blood oxygen, per session 94626
Outpatient pulmonary rehabilitation involves exercises and education to improve lung function. During each session, your blood oxygen level is continuously monitored to ensure safety and effectiveness. This service aids in managing respiratory issues.
612 services39 patients
Test for exercise-induced spasm of lung airways 94617
This test checks how your lungs respond to exercise. You'll be asked to exercise on a treadmill or stationary bike. Then, you'll breathe into a device that measures your lung function. If your airways narrow during or after exercise, it may indicate exercise-induced bronchoconstriction.
158 services153 patients
Test to measure expiratory airflow and volume 94010
This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.
157 services153 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11743 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
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

Reported Quality Measures

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…
100%59 patients5/55-star benchmark: 100%
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035
Other-Enteral and Parenteral · category OB006N
1 supplier24 claims336 services$4.37 avg. paid by Medicare
Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152
Other-Enteral and Parenteral · category OB006N
1 supplier24 claims6,552 services$0.27 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

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

ADVANCED PODIATRY OF HUNTINGTON PLLC
Podiatrist (Foot Surgery)
76 E MAIN ST, SUITE 3
HUNTINGTON, NY 11743
Suffolk County (631) 427-3678
MS. DEBRA J REISS L.C.S.W.
Social Worker (Clinical)
76 E MAIN ST
HUNTINGTON, NY 11743
Suffolk County (631) 421-1669
RICHARD SHERMAN & ARTHUR COHEN
Podiatrist
76 E MAIN ST
HUNTINGTON, NY 11743
Suffolk County (631) 427-3678

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 Vijay Gopal's NPI number?

The NPI number for Vijay Gopal is 1336158187. It was assigned to this individual provider in the NPPES registry on August 7, 2006.

Where is Vijay Gopal located?

Vijay Gopal practices at 76 E Main St Ste 1, Huntington, NY 11743. The listed phone number is (631) 424-1170.

What is Vijay Gopal's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Vijay Gopal enrolled in Medicare?

Yes. Vijay Gopal 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.

Which organizations bill Medicare for Vijay Gopal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Vijay Gopal reassigns Medicare benefits to 2 organizations: Quality Medical Fitness, PC (Northport, NY) and Brij M. Sharma Physician P.C (Roslyn Heights, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Vijay Gopal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Does Vijay Gopal hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D0669428) is associated with this NPI, valid through February 29, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Vijay Gopal was last updated on June 25, 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.