NAVPREET KAUR DHUGA DO
NPI 1003438144
Family Medicine in Mount Sinai, NY
NPI Status: Active since May 12, 2020
Contact Information
701 ROUTE 25A
MOUNT SINAI, NY
ZIP 11766
Phone: (631) 751-3000
- Individual
- Female
- Years of Experience 6
- Family Medicine
- Accepts Medicare Approved Payment
- PECOS Enrolled
About NAVPREET DHUGA
This page provides the complete NPI Profile along with additional information for Navpreet Dhuga, a primary care provider established in Mount Sinai, New York with a medical specialization in Family Medicine and more than 6 years of experience. She graduated from Michigan State University College Of Osteopathic Medicine in 2020. The healthcare provider is registered in the NPI registry with number 1003438144 assigned on May 2020. The practitioner's primary taxonomy code is 207Q00000X with license number 326401 (NY). The provider is registered as an individual and her NPI record was last updated one year ago.
- NPI
- 1003438144
- Provider Name
- NAVPREET KAUR DHUGA DO
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 701 ROUTE 25A MOUNT SINAI, NY 11766
- Location Phone
- (631) 751-3000
- Mailing Address
- 1 RESEARCH RD STE 101 RIDGE, NY 11961
- Mailing Phone
- (631) 751-3000
- Medical School Name
- MICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
- Graduation Year
- 2020
- Is Sole Proprietor?
- No
- Enumeration Date
- 05-12-2020
- Last Update Date
- 04-24-2024
- Code Navigator
A primary care provider (PCP) like Navpreet Dhuga sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Family Medicine
- Taxonomy Code
- 207Q00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 326401
- License State
- NY
- Taxonomy Description
- Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Medicare Participation & PECOS Enrollment Status
Navpreet Dhuga is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Navpreet Dhuga is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 9537582606
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20231106001675
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $26.26 for a new patient copayment and $29.4 for an established patient copayment.
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 11766 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $105.06
- Minimum New Patient Price $67.4
- Maximum New Patient Price $203.53
- Average New Patient Copayment $26.26
- Minimum New Patient Copayment $16.85
- Maximum New Patient Copayment $50.88
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $117.62
- Minimum Established Patient Price $21.66
- Maximum Established Patient Price $164.45
- Average Established Patient Copayment $29.4
- Minimum Established Patient Copayment $5.41
- Maximum Established Patient Copayment $41.11
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 0 | 0 | 3 | 4 | 3 | 8 | 1 | 4 | 4 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 0 | 0 | 3 | 8 | 3 | 16 | 1 | 8 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 0 + 0 + 3 + 8 + 3 + 1 + 6 + 1 + 8 + 24 = 56 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
60 - 56 = 4 | 4 |
The NPI number 1003438144 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 18 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1821009986 | DR. ALFRED RACITI M.D. Individual | Internal Medicine (Nephrology) | 701 ROUTE 25A SUITE B1 MOUNT SINAI, NY 11766 (631) 331-4403 |
1336151158 | DR. MARK DAVID SOLOMON M.D. Individual | Internal Medicine (Nephrology) | 701 ROUTE 25A SUITE B1 MOUNT SINAI, NY 11766 (631) 331-4403 |
1467545202 | LONG ISLAND NEPHROLOGY CONSULTANTS Organization | Internal Medicine (Nephrology) | 701 ROUTE 25A SUITE B1 MOUNT SINAI, NY 11766 (631) 331-4403 |
1215137005 | DR. RICHARD TED KAHN D.M.D. Individual | Dentist | 701 ROUTE 25A SUITE A1 MOUNT SINAI, NY 11766 (631) 473-5715 |
1225238967 | DR. ROBERT FRANCIS HLUDZINSKI Individual | Dentist | 701 ROUTE 25A SUITE A MOUNT SINAI, NY 11766 (631) 473-5715 |
1992905632 | DR. DENNIS SHELDON KAHN D.M.D. Individual | Dentist | 701 ROUTE 25A SUITE A1 MOUNT SINAI, NY 11766 (631) 473-5715 |
1649452889 | CHRISTINA GRASSI Individual | Specialist | 701 ROUTE 25A SUITE B1 MOUNT SINAI, NY 11766 (631) 331-4403 |
1265600845 | KAHN,KAHN,KAHN Organization | Dentist (General Practice) | 701 ROUTE 25A SUITE 1A MOUNT SINAI, NY 11766 (631) 473-5715 |
1942469986 | EAST COAST FERTILITY, P.C. Organization | Obstetrics & Gynecology (Reproductive Endocrinology) | 701 ROUTE 25A SUITE A3 MOUNT SINAI, NY 11766 (631) 331-8088 |
1801120118 | MS. MICHELL ANDREA DAVI MS, RN, CPNP Individual | Nurse Practitioner (Pediatrics) | 701 ROUTE 25A SUITE B3 MOUNT SINAI, NY 11766 (631) 476-7676 |
1154605152 | DARA BRENER, M.D., P.C. Organization | Internal Medicine | 701 ROUTE 25A SUITE B1 MOUNT SINAI, NY 11766 (631) 331-4403 |
1376555102 | DR. YANPING YU M.D. Individual | Internal Medicine (Nephrology) | 701 ROUTE 25A SUITE B1 MOUNT SINAI, NY 11766 (631) 331-4403 |
1134478753 | DAVID KAHN D.M.D. Individual | Dentist (General Practice) | 701 ROUTE 25A SUITE A1 MOUNT SINAI, NY 11766 (631) 473-5715 |
1336582600 | ALISSA M GNOLFO PNP Individual | Nurse Practitioner (Pediatrics) | 701 ROUTE 25A SUITE B3 MOUNT SINAI, NY 11766 (631) 476-7676 |
1992943476 | DR. BRIAN TIN CHU M.D. Individual | Internal Medicine (Nephrology) | 701 ROUTE 25A SUITE B1 MOUNT SINAI, NY 11766 (631) 331-4403 |
1619352440 | NATALONI PEDIATRICS Organization | Nurse Practitioner (Pediatrics) | 701 ROUTE 25A SUITE B3 MOUNT SINAI, NY 11766 (631) 476-7676 |
1316489255 | WOLF PEDIATRICS, PC Organization | Pediatrics | 701 ROUTE 25A SUITE B3 MOUNT SINAI, NY 11766 (631) 476-7676 |
1477837797 | MRS. LORETTA D'ANGELO STRUNK PA-C Individual | Physician Assistant | 701 ROUTE 25A SUITE B3 MOUNT SINAI, NY 11766 (631) 476-7676 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1003438144, enumerated in the NPI registry as an "individual" on May 12, 2020
The provider is located at 701 Route 25a Mount Sinai, Ny 11766 and the phone number is (631) 751-3000
The provider's speciality is Family Medicine with taxonomy code 207Q00000X
The provider has more than 6 years of experience. She graduated from Michigan State University College Of Osteopathic Medicine in 2020.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $105.06 with an average copayment of $26.26 for new patient appointments. Established patients should expect a typical charge of $117.62 and an average copayment of 29.4. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on May 12, 2020. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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