Individual provider Active NPI

Sameet Arun Palkhiwala, MD

  • Interventional Cardiology Physician
  • Astoria, NY
National Provider Identifier
1013053461
Registry record updated Mar 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
223633 Issued in NY
Practice address
4207 30TH Ave
Astoria, NY 11103-2910
Phone
(718) 204-7200
Fax
(718) 267-0060
NPI assigned
Jan 30, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 223633 NY
Nuclear Cardiology Physician 207UN0901X 223633 NY
Interventional Cardiology Physician 207RI0011X 223633 NY Primary

Addresses

Primary practice location

4207 30TH Ave
Astoria, NY 11103-2910

Mailing address

4207 30TH Ave
Astoria, NY 11103-2910
Phone (718) 204-7200

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address spalkhiwala211113@nyumc.direct-ci.com

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
I20071008000521 NY Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 6103911904 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
New York Medical College, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians

Practice addresses (Care Compare)

111 Broadway
New York, NY 10006-1901
Phone (212) 263-9700

13303 Jamaica Ave
Jamaica, NY 11418-2618
Phone (718) 206-6923

2318 31St St
Suite 200
Astoria, NY 11105-2765
Phone (718) 777-7742

530 1St Ave
New York, NY 10016-6402
Phone (212) 263-7300

550 1St Ave
New York, NY 10016-6402
Phone (212) 263-7300

560 1St Ave
New York, NY 10016-6402
Phone (212) 263-7300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.8 of 100Reported as group
Quality
91.79
Promoting interoperability
100
Improvement activities
40
Cost
75.18

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mount Sinai Hospital CurrentSince Dec 13, 2010 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Aug 1, 2012 Accepting new patients
New York University Cardiovascular Disease CurrentSince Jul 1, 2017 Accepting new patients
New York University Cardiovascular Disease CurrentSince Jul 1, 2017 Accepting new patients
The Mount Sinai Hospital CurrentSince Dec 13, 2010 Accepting new patients
Icahn School of Medicine at Mount Sinai Cardiovascular Disease CurrentSince Aug 1, 2012 Accepting new patients
Nyumc Radiology Associates Past Accepting new patients
Icahn School of Medicine at Mount Sinai Past Accepting new patients

Locations

3743 91st St
Jackson Heights, NY 11372
Phone (718) 565-5554

2715 30th Ave
Long Island City, NY 11102
Phone (718) 267-4808

4207 30th Ave
Long Island City, NY 11103
Phone (718) 204-6667

1421 3rd Ave
New York, NY 10028
Phone (212) 744-5538

5 E 98th St
Fl 5
New York, NY 10029
Phone (212) 241-8234

5 E 98th St
#1272
New York, NY 10029
Phone (212) 241-3743

10114 Liberty Ave
Ozone Park, NY 11417
Phone (718) 487-3330

10114 Liberty Ave
#13292
Ozone Park, NY 11417
Phone (718) 487-3330

13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942

13303 Jamaica Ave
#13292
Richmond Hill, NY 11418
Phone (718) 291-3276

14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989

Organizations & group practices 8

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

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615334400000",
    "number": "1013053461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4207 30TH AVE",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111032910",
            "telephone_number": "718-204-7200",
            "fax_number": "718-267-0060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4207 30TH AVE",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111032910",
            "telephone_number": "718-204-7200",
            "fax_number": "718-267-0060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALKHIWALA",
        "first_name": "SAMEET",
        "middle_name": "ARUN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-30",
        "last_updated": "2021-03-10",
        "certification_date": "2021-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "223633",
            "primary": false
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "NY",
            "license": "223633",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NY",
            "license": "223633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "spalkhiwala211113@nyumc.direct-ci.com",
            "affiliation": "N",
            "address_1": "4207 30th Ave",
            "city": "Astoria",
            "state": "NY",
            "country_code": "US",
            "postal_code": "111032910",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Astoria, NY

Sources for this page

Verify at the official NPI Registry.