Individual provider Active NPI

Kalyani R Trivedi, MD

  • Pediatric Cardiology Physician
  • Bronx, NY
National Provider Identifier
1073678835
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
License
224525 Issued in NY
Practice address
111 E 210TH St FL Se1
Bronx, NY 10467-2401
Phone
(718) 741-2343
Fax
(718) 920-4351
NPI assigned
Dec 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Cardiology Physician 2080P0202X 35127946 OH
Pediatric Cardiology Physician 2080P0202X 224525 NY Primary
Pediatric Cardiology Physician 2080P0202X A80794 CA

Addresses

Primary practice location

111 E 210TH St FL Se1
Bronx, NY 10467-2401

Mailing address

111 E 210TH St FL Se1
Bronx, NY 10467-2401
Phone (718) 741-2343

Other identifiers 2

IdentifierTypeStateIssuer
05503237MedicaidNY
103629680MedicaidPA

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
I20190221000075 NY Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Pediatric Medicine 6800870981 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
81.64 of 100Reported as group
Quality
55.31
Promoting interoperability
99
Improvement activities
40
Cost
76.8

Merit-based Incentive Payment System (MIPS)

Final score
80.15 of 100Reported as group
Quality
46.76
Promoting interoperability
100
Improvement activities
40
Cost
77.08

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A80794CAMDPediatric Cardiology Physician
224525NYMDPediatric Cardiology Physician
35127946OHMDPediatric Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
SBH Physicians, PC CurrentSince Jan 23, 2025 Accepting new patients
Montefiore Medical Center CurrentSince Jul 26, 2024 Accepting new patients
Montefiore Medical Center CurrentSince Jul 26, 2024 Accepting new patients
Ira Davenport Memorial Hospital, Inc. CurrentSince Feb 1, 2021 Accepting new patients
Arnot Medical Services PLLC CurrentSince Apr 1, 2019 Accepting new patients
Physician Affiliate Group of New York PC CurrentSince Jan 3, 2025 Accepting new patients
Ira Davenport Memorial Hospital, Inc. CurrentSince Feb 1, 2021 Accepting new patients
SBH Physicians, PC Current Accepting new patients
Quarry Road Emergency Services P.C. Past Accepting new patients
Chemung Medical Services PC PastSince Dec 1, 2020 Accepting new patients

Locations

7571 State Route 54
Bath, NY 14810
Phone (607) 776-8500

4422 3rd Ave
Bronx, NY 10457
Phone (718) 960-3917

4487 3rd Ave
Bronx, NY 10457
Phone (718) 960-3730

111 E 210th St
Bronx, NY 10467

111 E 210th St
Fl SE1
Bronx, NY 10467
Phone (718) 741-2343

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

600 Roe Ave
Elmira, NY 14905
Phone (607) 733-3639

571 Saint Josephs Blvd
Ste 304
Elmira, NY 14901
Phone (607) 271-2050

571 Saint Josephs Blvd
Fl 2
Elmira, NY 14901
Phone (607) 271-2050

600 Roe Ave
Ste 1F
Elmira, NY 14905
Phone (607) 795-8161

600 Ivy St
Ste 208
Elmira, NY 14905
Phone (607) 735-5790

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

Networks

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

Organizations & group practices 11

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": "1166745600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1073678835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 E 210TH ST FL SE1",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104672401",
            "telephone_number": "718-741-2343",
            "fax_number": "718-920-4351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 E 210TH ST FL SE1",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104672401",
            "telephone_number": "718-741-2343",
            "fax_number": "718-920-4351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRIVEDI",
        "first_name": "KALYANI",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-22",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "OH",
            "license": "35127946",
            "primary": false
        },
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "NY",
            "license": "224525",
            "primary": true
        },
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "CA",
            "license": "A80794",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05503237",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103629680",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.