DR. ANUPAMA DORAISWAMY MD
NPI 1649499336
Internal Medicine - Hematology in Montvale, NJ

Q: What is Anupama Doraiswamy's NPI number?

The NPI number for Anupama Doraiswamy is 1649499336. It was assigned to this individual provider in the NPPES registry on April 24, 2007.

Q: What is Anupama Doraiswamy's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology, with taxonomy code 207RH0000X.

Active since April 24, 2007PECOS EnrolledAccepts Medicare Assignment

88.16/100

CMS Quality Rating

225 SUMMIT AVE, MONTVALE, NJ 07645(201) 775-7000 Get Directions Write a Review

NPPES record last updated: July 3, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Anupama Doraiswamy Md NPPES

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

DR. ANUPAMA DORAISWAMY MD (NPI 1649499336) is an individual hematology provider in Montvale, New Jersey, licensed in New Jersey (25MA08818000) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1997).

NPPES Registry Identity

NPI1649499336

Entity TypeIndividualFemale

Primary Taxonomy207RH0000X

Provider Legal NameDR. ANUPAMA DORAISWAMYCredential: MD

Location Address225 SUMMIT AVEMontvale, NJ 07645-1523

Mailing Address1275 York AveNew York, NY 10065-6007 · (212) 639-2000

Phone(201) 775-7000

Sole ProprietorNo

Medical School CMSOtherGraduated 1997

Enumeration DateApril 24, 2007

Last NPPES UpdateJuly 3, 2023

NPPES CertifiedJuly 3, 2023

✔ NPI 1649499336 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · HematologyAllopathic & Osteopathic Physicians

Taxonomy Code207RH0000X

License✔ Licensed in NJ · 25MA08818000

Definition

An internist with additional training who specializes in diseases of the blood, spleen and lymph. This specialist treats conditions such as anemia, clotting disorders, sickle cell disease, hemophilia, leukemia and lymphoma.

225 SUMMIT AVE, Montvale, NJ 07645

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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

Dr. Anupama Doraiswamy Md 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 ID4082849864

PECOS Enrollment IDI20131102000134

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 3

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.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

101 services45 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

45 services45 patients

Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212

This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.

42 services33 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07645 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

$190.92 typical visit price

range $63.84 – $190.92

Typical copayment $47.73 (range $15.96 – $47.73)

Most-billed visit code 99205

Established Patient

$111.57 typical visit price

range $20.97 – $155.92

Typical copayment $27.89 (range $5.24 – $38.98)

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.

88.16/100

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

Scored as part of a group practice

Quality

80.99

Improvement Activities

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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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