Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Deepak Vadada, MD

Individual provider Gastroenterology Physician · NPI 1003042672

Deepak Vadada, MD is a Gastroenterology in Staten Island, New York. Qualified in 2005, 21 years ago. Practices with Advantagecare Physicians PC, a 310-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
21
Licensed in
NY
In the registry since
2009
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1050 Clove Rd
Staten Island, NY 10301-3627
Phone: (718) 816-6440
Fax: (718) 816-3611
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4771 Hylan Blvd, Staten Island, NY 10312-6315 — (718) 948-8200

Specialties & licences

Gastroenterology Physician (primary) Taxonomy 207RG0100X · Licence AL4088604171 (NY)

Record details

NPI number1003042672
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 9, 2009
Last updated in NPPESOctober 13, 2025
Certification dateOctober 13, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGASTROENTEROLOGY
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Advantagecare Physicians Pc — 310 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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