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DR. NITHYA GOPAL M.D.
NPI 1982081691
Obstetrics & Gynecology in Port Jefferson Station, NY

Active since May 01, 2015PECOS Enrolled
1500 ROUTE 112, BLDG 11, SUITE A, PORT JEFFERSON STATION, NY 11776(631) 331-1120 Get Directions Write a Review

NPPES record last updated: April 8, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 8, 2025, May 28, 2019, Jan 31, 2017 (3 updates tracked since 2017).

About Dr. Nithya Gopal M.d. NPPES

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

DR. NITHYA GOPAL M.D. (NPI 1982081691) is an individual obstetrics & gynecology provider in Port Jefferson Station, New York, licensed in New York (288944) and active in the NPI registry since May 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1982081691
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDR. NITHYA GOPALCredential: M.D.
Location Address1500 ROUTE 112, BLDG 11, SUITE APort Jefferson Station, NY 11776-8054
Mailing Address1500 Route 112, Bldg 11, Suite APort Jefferson Station, NY 11776-8054 · (631) 331-1120
Phone(631) 331-1120
Sole ProprietorNo
Enumeration DateMay 1, 2015
Last NPPES UpdateApril 8, 20253 updates tracked since enumeration
NPPES CertifiedApril 8, 2025
✔ NPI 1982081691 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 · 288944
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 ListedObstetrics & Gynecology · ObstetricsTaxonomy 207VX0000X · License 16440 (NV)
1500 ROUTE 112, Port Jefferson Station, NY 11776
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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 (PECOS)

Dr. Nithya Gopal M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11776 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.

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.

ELEANA KITZ NP
Nurse Practitioner (Family)
1500 ROUTE 112
PORT JEFFERSON STATION, NY 11776
Suffolk County (631) 771-3000
JENNIFER MARIE DIAZ MD
Allergy & Immunology
1500 ROUTE 112, BLDG. 4 - 2ND FLOOR
PORT JEFFERSON STATION, NY 11776
Suffolk County (631) 828-7001
ZARLASHT KHAN
Internal Medicine (Rheumatology)
1500 ROUTE 112
PORT JEFFERSON STATION, NY 11776
Suffolk County (631) 743-6840
RAMAN SINGH NP
Nurse Practitioner (Adult Health)
1500 ROUTE 112
PORT JEFFERSON STATION, NY 11776
Suffolk County (631) 751-3000
LONG ISLAND DIGESTIVE ENDOSCOPY CENTER, LLC
Clinic/Center (Ambulatory Surgical)
1500 ROUTE 112, BLDG 5
PORT JEFFERSON STATION, NY 11776
Suffolk County (631) 828-3400
JOHN PAUL SUGRUE M.D.
Otolaryngology
1500 ROUTE 112, BLDG. 4 - 2ND FLOOR
PORT JEFFERSON STATION, NY 11776
Suffolk County (631) 828-7001
MR. CRAIG PETER DAVIDSON
Physical Therapist
1500 ROUTE 112
PORT JEFFERSON STATION, NY 11776
Suffolk County (631) 849-6688
JEFFREY L VACIRCA MD
Internal Medicine (Hematology & Oncology)
1500 ROUTE 112, BLDG 4
PORT JEFFERSON STATION, NY 11776
Suffolk County (631) 574-8354

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 Nithya Gopal's NPI number?

The NPI number for Nithya Gopal is 1982081691. It was assigned to this individual provider in the NPPES registry on May 1, 2015.

Where is Nithya Gopal located?

Nithya Gopal practices at 1500 Route 112 Bldg 11, Suite A, Port Jefferson Station, NY 11776. The listed phone number is (631) 331-1120.

What is Nithya Gopal's specialty?

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

Is Nithya Gopal enrolled in Medicare?

Yes. Nithya Gopal is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Nithya Gopal was last updated on April 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.