Individual provider Active NPI

Vikrant Khanderia, MD

  • Family Medicine Physician
  • New York, NY
National Provider Identifier
1013079011
Registry record updated Jan 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
229935-1 Issued in NY
Practice address
154 West 71St Street
New York, NY 10023-4005
Phone
(212) 496-4600
Fax
(917) 441-0195
NPI assigned
Dec 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 229935-1 NY Primary

Addresses

Primary practice location

154 West 71St Street
New York, NY 10023-4005

Mailing address

55 Water St FL 2
New York, NY 10041-0010
Phone (646) 680-2888

Other practice location 1

215 W 125th St Fl 2
New York, NY 10027-4426
Phone (212) 491-2400

Other practice location 2

4337 Broadway
New York, NY 10033-2411
Phone (212) 568-6300

Other practice location 3

215 E 95th St Frnt 1
New York, NY 10128-4077
Phone (212) 996-8000

Other identifiers 1

IdentifierTypeStateIssuer
02512054MedicaidNY

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
I20040428001549 NY Practitioner - Family Practice 8628962230 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Wayne State University School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advantagecare Physicians PCGroup PAC ID 2365735008, 307 clinicians

Practice addresses (Care Compare)

154 W 71St St
New York, NY 10023-4005
Phone (212) 496-4600

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
229935-1NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advantagecare Physicians PC CurrentSince Jan 1, 2017 Accepting new patients
Advantagecare Physicians PC Family Medicine CurrentSince Jan 1, 2017 Accepting new patients

Locations

233 Nostrand Ave
Brooklyn, NY 11205
Phone (646) 680-1595

215 W 125th St
New York, NY 10027
Phone (212) 491-2400

55 Water St
Fl 2
New York, NY 10041

215 E 95th St
New York, NY 10128
Phone (212) 423-3111

4337 Broadway
New York, NY 10033
Phone (212) 523-5201

590 5th Ave
New York, NY 10036
Phone (212) 582-7117

215 E 95th St
Frnt 1
New York, NY 10128
Phone (212) 996-8000

215 W 125th St
Fl 2
New York, NY 10027
Phone (212) 491-2400

154 W 71st St
New York, NY 10023
Phone (212) 460-7800

Networks

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

Interoperability endpoints

  • Direct secure messaging: vkhanderia4778@direct.acpny.com
  • FHIR API: https://epwebapps.acpny.com/FHIRproxy/ACPNY/api/FHIR/R4

Organizations & group practices 2

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": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769385600000",
    "number": "1013079011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 WATER ST FL 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100410010",
            "telephone_number": "646-680-2888",
            "fax_number": "516-542-5556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "154 WEST 71ST STREET",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100234005",
            "telephone_number": "212-496-4600",
            "fax_number": "917-441-0195"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "215 W 125th St Fl 2",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100274426",
            "country_code": "US",
            "telephone_number": "212-491-2400",
            "fax_number": "212-491-2401",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4337 Broadway",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100332411",
            "country_code": "US",
            "telephone_number": "212-568-6300",
            "fax_number": "212-544-5073",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "215 E 95th St Frnt 1",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "101284077",
            "country_code": "US",
            "telephone_number": "212-996-8000",
            "fax_number": "212-423-3904",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHANDERIA",
        "first_name": "VIKRANT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-15",
        "last_updated": "2026-01-26",
        "certification_date": "2026-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "229935-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02512054",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.