Active NPI
Vikrant Khanderia, MD
- Family Medicine Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 229935-1
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02512054 | Medicaid | NY |
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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 229935-1 | NY | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advantagecare Physicians PC | Current | Accepting new patients | |
| Advantagecare Physicians PC | Family Medicine | Current | 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
- vkhanderia4778@direct.acpny.com
- 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.
-
- General Practice Physician
- New York, NY
- NPI 1336578772
-
- Internal Medicine Physician
- Staten Island, NY
- NPI 1063954113
Family Medicine
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.