Active NPI
Karibandi Family Practice PC
- Family Medicine Physician
- Brooklyn, NY
National Provider Identifier
1093927204
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 182767
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ramakrishna Veera Karibandi, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02142108 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
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.
-
- Family Medicine Physician
- Brooklyn, NY
- NPI 1982760567
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.