Active NPI
Doraikannu Balakumar, M.D.
- Anesthesiology Physician
- Bronx, NY
National Provider Identifier
1033154380
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 140588
- Practice address
- 2475 Saint Raymonds Ave
Anesthesia Department
Bronx, NY 10461 - Phone
- (718) 430-7473
- Fax
- (718) 430-7336
- NPI assigned
- Jun 19, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 25MA03728600 | NJ | |
| Anesthesiology Physician | 207L00000X | 140588 | NY | Primary |
Addresses
Primary practice location
2475 Saint Raymonds Ave
Anesthesia Department
Bronx, NY 10461
Mailing address
PO Box a
Assure Anesthesia
North Bellmore, NY 11710-0745
Phone (800) 720-1664
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00154666 | Other | RAILROAD MEDICARE | |
| 00708503 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coastal Surgery Center, LLC | Past | 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.
-
- Ambulatory Surgical Clinic/Center
- Neptune, NJ
- NPI 1316219470
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528934400000",
"number": "1033154380",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX A",
"address_2": "ASSURE ANESTHESIA",
"city": "NORTH BELLMORE",
"state": "NY",
"postal_code": "117100745",
"telephone_number": "800-720-1664",
"fax_number": "207-753-2020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2475 SAINT RAYMONDS AVE",
"address_2": "ANESTHESIA DEPARTMENT",
"city": "BRONX",
"state": "NY",
"postal_code": "10461",
"telephone_number": "718-430-7473",
"fax_number": "718-430-7336"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALAKUMAR",
"first_name": "DORAIKANNU",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-19",
"last_updated": "2018-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NJ",
"license": "25MA03728600",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NY",
"license": "140588",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00154666",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00708503",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.