Dr Nithya Gopal, MD - Medicare Obstetrics & Gynecology in Port Jefferson Station, NY

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Dr Nithya Gopal, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Port Jefferson Station, New York. Her current practice location is 1500 Route 112, Bldg 11, Suite A, Port Jefferson Station, New York. You can reach out to her office (for appointments etc.) via phone at (631) 331-1120.

Dr Nithya Gopal is licensed to practice in New York (license number 288944) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1982081691.

Contact Information

Dr Nithya Gopal, MD
1500 Route 112, Bldg 11, Suite A,
Port Jefferson Station, NY 11776-8054
(631) 331-1120
Not Available

Map and Direction




Physician's Profile

Full NameDr Nithya Gopal
GenderFemale
SpecialityObstetrics & Gynecology
Location1500 Route 112, Port Jefferson Station, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1982081691
  • Provider Enumeration Date: 05/01/2015
  • Last Update Date: 04/08/2025
  Medicare PECOS Information:
  • PECOS PAC ID: 6901198506
  • Enrollment ID: I20160629002540

Medical Identifiers

Medical identifiers for Dr Nithya Gopal such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1982081691NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207VX0000XObstetrics & Gynecology - Obstetrics 16440 (Nevada)Secondary
207V00000XObstetrics & Gynecology 288944 (New York)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Nithya Gopal allows following entities to bill medicare on her behalf.
Entity NameHealthcare Partners Medical Group Coats Ltd
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487631917
PECOS PAC ID: 5991866303
Enrollment ID: O20100113000898

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Nithya Gopal is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Nithya Gopal, MD
1500 Route 112, Bldg 11, Suite A,
Port Jefferson Station, NY 11776-8054

Ph: (631) 331-1120		Dr Nithya Gopal, MD
1500 Route 112, Bldg 11, Suite A,
Port Jefferson Station, NY 11776-8054

Ph: (631) 331-1120

Reviews and Comments


Obstetrics & Gynecology Doctors in Port Jefferson Station, NY

Dr. Jerry Ninia, M.D.
Obstetrics & Gynecology
Medicare: May Accept Medicare Assignments
Practice Location: 4 Roosevelt Ave, Port Jefferson Station, NY 11776
Phone: 631-331-0500    Fax: 631-331-1644
Dr. Thomas P. Erhart, D.O.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 1500-11 Route 112, Suites A & B, Port Jefferson Station, NY 11776
Phone: 631-474-4917    Fax: 631-331-1120
Gustavo Sanroman, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 5225 Route 347, Suite 70, Port Jefferson Station, NY 11776
Phone: 800-645-3203    Fax: 631-474-9169
Dreux Patton, M.D.
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 12 Medical Dr, Port Jefferson Station, NY 11776
Phone: 631-331-4400    
Theodore Goldberg, M.D.
Obstetrics & Gynecology
Medicare: Not Enrolled in Medicare
Practice Location: 12 Medical Dr, Port Jefferson Station, NY 11776
Phone: 631-331-4400    
Dr. Dana L Brenner, MD
Obstetrics & Gynecology
Medicare: Accepting Medicare Assignments
Practice Location: 5225 Rte 347 Ste 70, Port Jefferson Station, NY 11776
Phone: 631-331-8777    Fax: 631-474-9169

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.