Organization Active NPI

Karibandi Family Practice PC

  • Family Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1093927204
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
182767 Issued in NY
Legal business name
KARIBANDI FAMILY PRACTICE PC
Practice address
471 Hart St
Brooklyn, NY 11221-2515
Phone
(718) 443-3800
Fax
(718) 443-3837
NPI assigned
May 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ramakrishna Veera Karibandi, MDNPI 1982760567
Title
President
Phone
(718) 443-3800

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 182767 NY Primary

Addresses

Primary practice location

471 Hart St
Brooklyn, NY 11221-2515

Mailing address

3 Supreme CT
Smithtown, NY 11787-4316
Phone (718) 443-3800

Other identifiers 1

IdentifierTypeStateIssuer
02142108MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070608000251 NY Part B Supplier - Clinic/Group Practice 1052419454 Receives reassigned benefits from 1 practitioner
Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory

Locations

471 Hart St
Ste 1
Brooklyn, NY 11221
Phone (718) 443-3800

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093927204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 SUPREME CT",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117874316",
            "telephone_number": "718-443-3800",
            "fax_number": "718-443-3837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "471 HART ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112212515",
            "telephone_number": "718-443-3800",
            "fax_number": "718-443-3837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KARIBANDI FAMILY PRACTICE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KARIBANDI",
        "authorized_official_first_name": "RAMAKRISHNA",
        "authorized_official_middle_name": "VEERA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-443-3800",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "182767",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02142108",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.