Individual provider Active NPI

Iftekhar Kadri, M.D.

  • Cardiovascular Disease Physician
  • West Orange, NJ
National Provider Identifier
1093711947
Registry record updated Dec 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MA43002 Issued in NJ
Practice address
372 Valley Rd
West Orange, NJ 07052-5303
Phone
(973) 736-2600
Fax
(973) 736-8355
NPI assigned
Jun 24, 2005
Last updated
Dec 6, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 6, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MA43002 NJ
Cardiovascular Disease Physician 207RC0000X MA43002 NJ Primary

Addresses

Primary practice location

372 Valley Rd
West Orange, NJ 07052-5303

Mailing address

15 Chapel Hill Rd
Short Hills, NJ 07078-1211
Phone (973) 736-2600

Other identifiers 1

IdentifierTypeStateIssuer
1190202MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ
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
I20050914000063 NJ Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 5496712051 Reassigns benefits to 1 organization
Practice locations: West Orange, NJ

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

372 Valley Rd
West Orange, NJ 07052-5303
Phone (973) 912-9195

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA42281NJMDCardiovascular Disease Physician
MA43002NJMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
State of New Jersey Omb Centralized Payroll CurrentSince May 11, 2023 Accepting new patients
Abbassi and Agrama P C Internal Medicine Past Accepting new patients
Consolidated Diagnostic and Imaging PC Internal Medicine Past Accepting new patients
Essex Valley Cardiology LLC Past Accepting new patients

Locations

59 Koch Ave
Morris Plains, NJ 07950
Phone (973) 889-4390

Interoperability endpoints

  • Direct secure messaging: iftekhar.kadri@direct.digidms.com
  • Direct secure messaging: ikadri249367@epicdirect.rwjbh.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 2

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": "1119571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291593600000",
    "number": "1093711947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 CHAPEL HILL RD",
            "city": "SHORT HILLS",
            "state": "NJ",
            "postal_code": "070781211",
            "telephone_number": "973-736-2600",
            "fax_number": "973-736-8355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "372 VALLEY RD",
            "city": "WEST ORANGE",
            "state": "NJ",
            "postal_code": "070525303",
            "telephone_number": "973-736-2600",
            "fax_number": "973-736-8355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KADRI",
        "first_name": "IFTEKHAR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-24",
        "last_updated": "2010-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "MA43002",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NJ",
            "license": "MA43002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1190202",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Orange, NJ

Sources for this page

Verify at the official NPI Registry.