Individual provider Active NPI

Viraj Sharad Lakdawala, MD

  • Emergency Medicine Physician
  • New York, NY
National Provider Identifier
1053622365
Registry record updated Feb 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
258879 Issued in NY
Practice address
462 1St Ave RM 345a
New York, NY 10016-9196
Phone
(212) 562-6561
NPI assigned
Jul 1, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X A115752 CA
Emergency Medicine Physician 207P00000X 258879 NY Primary

Addresses

Primary practice location

462 1St Ave RM 345a
New York, NY 10016-9196

Mailing address

462 1St Ave RM 345a
New York, NY 10016-9196
Phone (212) 562-6561

Other practice location 1

1001 Potrero Ave Rm 1E21
San Francisco, CA 94110-3518
Phone (415) 206-5753

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address vlakdawala94100@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
I20140620001675 NY Practitioner - Emergency Medicine 4880871607 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Interfaith Emergency Medicine PCGroup PAC ID 7012186638, 32 clinicians
North Shore-Lij Medical PCGroup PAC ID 3375701568, 6,374 clinicians

Practice addresses (Care Compare)

1545 Atlantic Ave
Brooklyn, NY 11213-1122
Phone (718) 613-4000

30 7TH Ave
New York, NY 10011-6608
Phone (212) 434-4137

Hospital & facility affiliations

  • Lenox Hill Hospital Hospital, New York, NY, CCN 330119
  • Brookdale Hospital Medical Center Hospital, Brooklyn, NY, CCN 330233
  • Jacobi Medical Center Hospital, Bronx, NY, CCN 330127

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
258879NYMDLicensed Practical Nurse
A115752CAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore - Lij Medical PC CurrentSince Jun 1, 2025 Accepting new patients
Brookdale Hospital Medical Center CurrentSince Aug 1, 2025 Accepting new patients
North Shore-Lij Medical PC Emergency Medicine CurrentSince Jun 1, 2025 Accepting new patients
The Brookdale Hospital Medical Center CurrentSince Aug 1, 2025 Accepting new patients
Emergency Physician Services of New York, P.C. Emergency Medicine CurrentSince Sep 1, 2017 Accepting new patients
Downtown Bronx Medical Associates PC CurrentSince Mar 1, 2020 Accepting new patients
Interfaith Emergency Medicine, P.C. Emergency Medicine CurrentSince Jul 23, 2017 Accepting new patients
New York University Emergency Medicine CurrentSince Jun 1, 2014 Accepting new patients
New York University CurrentSince Jun 1, 2014 Accepting new patients
Advantagecare Physicians PC CurrentSince Oct 1, 2021 Accepting new patients
Mylaurel Medical Group Ny, PLLC Emergency Medicine CurrentSince Jul 2, 2023 Accepting new patients
Advantagecare Physicians PC CurrentSince Oct 1, 2021 Accepting new patients
Physician Affiliate Group of New York PC CurrentSince Nov 1, 2025 Accepting new patients
New York City Health and Hospitals Corporation Past Accepting new patients
Cloud Health Medical Group of California, P.C. Past Accepting new patients

Locations

3424 Kossuth Ave
Bronx, NY 10467
Phone (718) 519-3972

234 Eugenio Maria de Hosto Blvd
Bronx, NY 10451
Phone (718) 579-5874

101 Pennsylvania Ave
Brooklyn, NY 11207
Phone (718) 240-2000

2601 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 616-5354

546 Eastern Pkwy
Brooklyn, NY 11225
Phone (718) 604-4800

1235 Linden Blvd
Fl 2
Brooklyn, NY 11212
Phone (718) 240-7143

1545 Atlantic Ave
Brooklyn, NY 11213
Phone (718) 613-4175

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

949 48th St
Brooklyn, NY 11219
Phone (702) 417-6255

670 Stoneleigh Ave
Carmel, NY 10512
Phone (845) 230-4721

506 Malcolm X Blvd
New York, NY 10037
Phone (212) 939-1000

30 7th Ave
New York, NY 10011
Phone (646) 665-6000

300 Community Dr
Plandome, NY 11030

45 Reade Pl
Poughkeepsie, NY 12601
Phone (845) 331-3131

Networks

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

Interoperability endpoints

  • Direct secure messaging: vlakdawala678084@nychhc.direct-ci.com
  • FHIR API: https://epwebapps.acpny.com/FHIRproxy/ACPNY/api/FHIR/R4
  • Direct secure messaging: vlakdawala327127@northwell.direct-ci.com
  • Direct secure messaging: vlakdawala94100@nyumc.direct-ci.com

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 6

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": "1277942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612396800000",
    "number": "1053622365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "462 1ST AVE RM 345A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100169196",
            "telephone_number": "212-562-6561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "462 1ST AVE RM 345A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100169196",
            "telephone_number": "212-562-6561"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 Potrero Ave Rm 1E21",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941103518",
            "country_code": "US",
            "telephone_number": "415-206-5753",
            "fax_number": "415-206-5818",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAKDAWALA",
        "first_name": "VIRAJ",
        "middle_name": "SHARAD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-01",
        "last_updated": "2021-02-04",
        "certification_date": "2021-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A115752",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "258879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vlakdawala94100@nyumc.direct-ci.com",
            "affiliation": "N",
            "address_1": "462 1st Ave Rm 345A",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100169196",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.