Individual provider Active NPI

Madhavi Katikaneni, MD

  • Nephrology Physician
  • Putnam Valley, NY
National Provider Identifier
1073845020
Registry record updated Feb 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
270344 Issued in NY
Practice address
53 Peekskill Hollow Rd
Putnam Valley, NY 10579-3252
Phone
(845) 528-5700
Fax
(845) 528-0134
NPI assigned
Feb 2, 2010
Last updated
Feb 1, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Nephrology Physician 207RN0300X 270344 NY Primary

Addresses

Primary practice location

53 Peekskill Hollow Rd
Putnam Valley, NY 10579-3252

Mailing address

2649 Strang Blvd
Ste 304
Yorktown Heights, NY 10598
Phone (914) 739-0087

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address mak9245@direct.nyp.org Direct
FHIR URL https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Health Information Exchange (HIE)
FHIR URL https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/ Health Information Exchange (HIE)

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
I20101007000425 NY Practitioner - Nephrology 9830381995 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1968 Crompond Rd
Cortlandt Manor, NY 10567-4144
Phone (914) 736-1100

1978 Crompond Rd
Cortlandt Manor, NY 10567-4144
Phone (914) 293-8700

1978 Crompond Rd
Suite 206
Cortlandt Manor, NY 10567-4111
Phone (914) 736-6180

1980 Crompond Rd
Cortlandt Manor, NY 10567-4144

1985 Crompond Rd
Cortlandt Manor, NY 10567-4146

2050 E Main St
Cortlandt Manor, NY 10567-2502
Phone (866) 544-6721

2649 Strang Blvd
Yorktown Heights, NY 10598-2938

35 S Riverside Ave
Croton on Hudson, NY 10520-2653
Phone (914) 233-3305

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
85.32
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
270344NYMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Medical Center Nephrology CurrentSince Jul 22, 2010 Accepting new patients
Montefiore Medical Center CurrentSince Jul 22, 2010 Accepting new patients
The Westchester Medical Practice, PC CurrentSince Sep 25, 2017 Accepting new patients
The Westchester Medical Practice, PC CurrentSince Sep 25, 2017 Accepting new patients

Locations

111 E 210th St
Bronx, NY 10467

1980 Crompond Rd
Cortlandt Mnr, NY 10567
Phone (914) 734-3600

1985 Crompond Rd
Bldg C
Cortlandt Mnr, NY 10567
Phone (914) 739-6550

53 Peekskill Hollow Rd
Putnam Valley, NY 10579
Phone (845) 528-5700

2649 Strang Blvd
Ste 304
Yorktown Heights, NY 10598
Phone (646) 745-6369

Networks

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

Interoperability endpoints

  • Direct secure messaging: mak9245@direct.nyp.org

Organizations & group practices 4

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.

Hospital & facility affiliations 9

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": "1265068800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706745600000",
    "number": "1073845020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2649 STRANG BLVD",
            "address_2": "STE 304",
            "city": "YORKTOWN HEIGHTS",
            "state": "NY",
            "postal_code": "10598",
            "telephone_number": "914-739-0087",
            "fax_number": "914-737-1714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 PEEKSKILL HOLLOW RD",
            "city": "PUTNAM VALLEY",
            "state": "NY",
            "postal_code": "105793252",
            "telephone_number": "845-528-5700",
            "fax_number": "845-528-0134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATIKANENI",
        "first_name": "MADHAVI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-02",
        "last_updated": "2024-02-01",
        "certification_date": "2024-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "270344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mak9245@direct.nyp.org",
            "affiliation": "N",
            "endpointDescription": "direct address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "direct address",
            "address_1": "53 Peekskill Hollow Rd",
            "city": "Putnam Valley",
            "state": "NY",
            "country_code": "US",
            "postal_code": "105793252",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "endpointDescription": "FHIR",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "FHIR",
            "address_1": "53 Peekskill Hollow Rd",
            "city": "Putnam Valley",
            "state": "NY",
            "country_code": "US",
            "postal_code": "105793252",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/",
            "affiliation": "N",
            "endpointDescription": "FHIR",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "FHIR",
            "address_1": "53 Peekskill Hollow Rd",
            "city": "Putnam Valley",
            "state": "NY",
            "country_code": "US",
            "postal_code": "105793252",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Putnam Valley, NY

Sources for this page

Verify at the official NPI Registry.