Individual provider Active NPI

Habib Kamkhaji, MD

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1003862657
Registry record updated Apr 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
218213 Issued in NY
Practice address
736 Crawford Ave
Brooklyn, NY 11223-5548
Phone
(917) 703-2266
NPI assigned
May 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 218213 NY Primary

Addresses

Primary practice location

736 Crawford Ave
Brooklyn, NY 11223-5548

Mailing address

736 Crawford Ave
Brooklyn, NY 11223-5548
Phone (917) 703-2266

Other identifiers 1

IdentifierTypeStateIssuer
02153455MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250722003511 NY Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 1850352444

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
218213NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North General Physician Services PLLC Internal Medicine PastSince Jul 1, 2006 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459900800000",
    "number": "1003862657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "736 CRAWFORD AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112235548",
            "telephone_number": "917-703-2266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "736 CRAWFORD AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112235548",
            "telephone_number": "917-703-2266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMKHAJI",
        "first_name": "HABIB",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2016-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "218213",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02153455",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.