Individual provider Active NPI

Venkatesh Sabhae Gangadharappa, MD

  • Allergy & Immunology Physician
  • Brooklyn, NY
National Provider Identifier
1033442058
Registry record updated Apr 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
266495 Issued in NY
Practice address
760 Broadway
Brooklyn, NY 11206-5317
Phone
(718) 963-7956
NPI assigned
Sep 9, 2009
Last updated
Apr 21, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 266495 NY Primary

Addresses

Primary practice location

760 Broadway
Brooklyn, NY 11206-5317

Mailing address

9851 Queens Blvd Ste 1K
Rego Park, NY 11374-4321
Phone (347) 492-0406

Other practice location 1

9732 63rd Rd
Rego Park, NY 11374-1639
Phone (718) 275-2900

Other practice location 2

9851 Queens Blvd Ste 1K
Rego Park, NY 11374-4321
Phone (718) 275-2900

Other practice location 3

155 Bay Ridge Ave
Brooklyn, NY 11220-5108
Phone (347) 492-0406

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
I20110221000896 NY Practitioner - Allergy/ImmunologyPractitioner - Pediatric Medicine 3577744747 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Allergy/ImmunologyAlso: Pediatric Medicine
Education
Other, 2002
Medicare assignment
May accept Medicare assignment
Group practices
Atlantic Endocrinology and Diabetes PCGroup PAC ID 8325952971, 4 clinicians

Practice addresses (Care Compare)

9725 63Rd Dr
Rego Park, NY 11374-2229
Phone (718) 275-2900

9851 Queens Blvd
Suite 1K
Rego Park, NY 11374-4321
Phone (718) 275-2900

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
266495NYMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St John's Medical Services PC CurrentSince Sep 1, 2018 Accepting new patients
Artisans Ambulatory Medical Care PLLC CurrentSince Nov 7, 2023 Accepting new patients
Atlantic Endocrinology and Diabetes PC Allergy & Immunology CurrentSince Oct 1, 2022 Accepting new patients
Lev Yagudayev Physician, PC Past Accepting new patients
464 Bay Ridge Medical PLLC PastSince Nov 7, 2023 Accepting new patients

Locations

111 Bay 50th St
Brooklyn, NY 11214
Phone (212) 629-7441

155 Bay Ridge Ave
Brooklyn, NY 11220
Phone (718) 238-0377

466 Bay Ridge Ave
Brooklyn, NY 11220
Phone (646) 288-2004

327 Beach 19th St
Far Rockaway, NY 11691
Phone (718) 689-7640

9725 63rd Dr
Rego Park, NY 11374
Phone (718) 271-8185

9725 63rd Dr
#1
Rego Park, NY 11374
Phone (718) 275-2900

4521 Arthur Kill Rd
Fl 2
Staten Island, NY 10309

Networks

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

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14448/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/DAEHDD/Endpoint/DAEHDD
  • FHIR API: https://fhir4.healow.com/fhir/r4/ICEIAA/Endpoint/ICEIAA
  • Direct secure messaging: vsabhaegangadharappa562957@nychhc.direct-ci.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1252454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776729600000",
    "number": "1033442058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9851 QUEENS BLVD STE 1K",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113744321",
            "telephone_number": "347-492-0406",
            "fax_number": "855-576-4178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 BROADWAY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112065317",
            "telephone_number": "718-963-7956"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9732 63rd Rd",
            "address_purpose": "LOCATION",
            "city": "Rego Park",
            "state": "NY",
            "postal_code": "113741639",
            "country_code": "US",
            "telephone_number": "718-275-2900",
            "fax_number": "855-576-4178",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9851 Queens Blvd Ste 1K",
            "address_purpose": "LOCATION",
            "city": "Rego Park",
            "state": "NY",
            "postal_code": "113744321",
            "country_code": "US",
            "telephone_number": "718-275-2900",
            "fax_number": "855-576-4178",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "155 Bay Ridge Ave",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112205108",
            "country_code": "US",
            "telephone_number": "347-492-0406",
            "fax_number": "855-576-4178",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SABHAE GANGADHARAPPA",
        "first_name": "VENKATESH",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-09-09",
        "last_updated": "2026-04-21",
        "certification_date": "2026-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "NY",
            "license": "266495",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.