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VIVEK V. GUMASTE M.D.
NPI 1710901368
Internal Medicine - Gastroenterology in Bronx, NY

Active since July 27, 2006PECOS EnrolledAccepts Medicare Assignment
91.25/100
CMS Quality Rating
111 E 210TH ST, BRONX, NY 10467(347) 671-8225 Get Directions Write a Review

NPPES record last updated: December 6, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Vivek V. Gumaste M.d. NPPES

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

VIVEK V. GUMASTE M.D. (NPI 1710901368) is an individual gastroenterology provider in Bronx, New York, licensed in New York (164379) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Carepoint Health - Bayonne Medical Center, and is a graduate of Harvard Medical School (2004).

NPPES Registry Identity

NPI1710901368
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameVIVEK V. GUMASTECredential: M.D.
Location Address111 E 210TH STBronx, NY 10467-2401
Mailing Address111 E 210th StBronx, NY 10467-2401 · (347) 671-8225
Phone(347) 671-8225
Sole ProprietorNo
Medical School CMSHarvard Medical SchoolGraduated 2004
Enumeration DateJuly 27, 2006
Last NPPES UpdateDecember 6, 2013
✔ NPI 1710901368 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in NY · 164379
Definition
An 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.
Also ListedInternal MedicineTaxonomy 207R00000X · License 164379 (NY)
111 E 210TH ST, Bronx, NY 10467
Open in Google Maps ↗

Other Identifiers 3

Medicare UPINE36453NY
Medicare ID-Type Unspecified53939I / 53880DNY
Medicaid01027307NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Oscar Health.Insurance ›

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

Vivek V. Gumaste 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 ID1355407560
PECOS Enrollment IDI20231030000064
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

4

Medicare enrollment records show Vivek Gumaste reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Physicians Of University Hospital, PC
8.5 mi
Anesthesiology
100 E 77TH ST
New York, NY 10075
  • Reassigned Medicare billing, New York enrollment
  • 530 clinicians in this Medicare group
NPI 1992200075 (212) 434-2878
North Shore-Lij Medical PC
11 mi
Urology
1010 NORTHERN BLVD STE 110
Great Neck, NY 11021
  • Reassigned Medicare billing, New York enrollment
  • 9,353 clinicians in this Medicare group
NPI 1053688572 (516) 321-7400
New Jersey Medical And Health Associates,llc
13 mi
Internal Medicine
308 WILLOW AVE
Hoboken, NJ 07030
  • Reassigned Medicare billing, New Jersey enrollment
  • 124 clinicians in this Medicare group
NPI 1558673582 (844) 427-4362
Garden State Healthcare Associates, LLC
19 mi
Emergency Medicine
29 E 29TH ST
Bayonne, NJ 07002
  • Reassigned Medicare billing, New Jersey enrollment
  • 637 clinicians in this Medicare group
NPI 1700014545 (844) 242-7436

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

Areas of Expertise CMS Part B claims 5

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.
142 services81 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.
72 services42 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.
52 services50 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.
43 services40 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Carepoint Health - Bayonne Medical Center

Acute Care Hospitals · Bayonne, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310025
Location29 East 29th StBayonne, NJ 07002 · Hudson County

Carepoint Health-Hoboken University Medical Center

Acute Care Hospitals · Hoboken, NJ
1/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number310040
Location308 Willow AveHoboken, NJ 07030 · Hudson County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10467 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.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.92
Promoting Interoperability91.67
Improvement Activities40

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.

DR. AMANDA MCNEAR JACOBS M.D.
Pediatrics (Adolescent Medicine)
111 E 210TH ST, DEPARTMENT OF PEDIATRICS
BRONX, NY 10467
Bronx County (718) 920-2306
HEATHER ROOT MD
Internal Medicine (Infectious Disease)
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-8592
MICHAEL GOTTESMAN M.D.
Radiology (Diagnostic Neuroimaging)
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-5506
JIAE LEE M.D.
Psychiatry & Neurology (Neurology)
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-4321
DR. MICHELLE DOMINIQUE PINTEA MD
Pediatrics
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-4321
TELISHA MCLEAN
Nurse Practitioner (Family)
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-4321
SHIVADITYA CHOUDHURY
Anesthesiology
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-4321
MS. JOHANNA SHEA-FEN TAN
Student in an Organized Health Care Education/Training Program
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-4321

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 Vivek Gumaste's NPI number?

The NPI number for Vivek Gumaste is 1710901368. It was assigned to this individual provider in the NPPES registry on July 27, 2006.

Where is Vivek Gumaste located?

Vivek Gumaste practices at 111 E 210th St, Bronx, NY 10467. The listed phone number is (347) 671-8225.

What is Vivek Gumaste's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Vivek Gumaste enrolled in Medicare?

Yes. Vivek Gumaste 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 Vivek Gumaste's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Vivek Gumaste reassigns Medicare benefits to 4 organizations: Physicians Of University Hospital, PC (New York, NY), North Shore-Lij Medical PC (Great Neck, NY), New Jersey Medical And Health Associates,llc (Hoboken, NJ) and Garden State Healthcare Associates, LLC (Bayonne, NJ). 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 Vivek Gumaste's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Vivek Gumaste accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Vivek Gumaste as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Vivek Gumaste affiliated with any hospitals?

According to CMS data, Vivek Gumaste is affiliated with Carepoint Health - Bayonne Medical Center and Carepoint Health-Hoboken University Medical Center.

When was this NPI record last updated?

The NPPES record for Vivek Gumaste was last updated on December 6, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.