Individual provider Active NPI

Unnikrishnan Narayanan Thampy, MD

  • Internal Medicine Physician
  • New Hyde Park, NY
National Provider Identifier
1093940843
Registry record updated Apr 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
250527 Issued in NY
Practice address
6 Tuxedo Ave
New Hyde Park, NY 11040-3519
Phone
(203) 789-4044
Fax
(203) 789-3007
NPI assigned
May 22, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2022

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 48367 CT
Internal Medicine Physician 207R00000X 250527 NY Primary

Addresses

Primary practice location

6 Tuxedo Ave
New Hyde Park, NY 11040-3519

Mailing address

2 McCulloch Dr
Dix Hills, NY 11746-8304
Phone (516) 395-1835

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20120305000004 CT Practitioner - Internal Medicine 1153461603 Reassigns benefits to 3 organizations
I20120413000626 NY Practitioner - Internal Medicine 1153461603 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northeast Medical Group IncGroup PAC ID 1254233836, 1,357 clinicians

Practice addresses (Care Compare)

5 Perryridge Rd
Greenwich, CT 06830-4608
Phone (203) 863-3840

6 Tuxedo Ave
New Hyde Park, NY 11040-3519
Phone (516) 588-3585

95 Armory Rd
Stratford, CT 06614-1702
Phone (203) 384-3388

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
86.54
Promoting interoperability
99.98
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
48367CTMDInternal Medicine Physician
250527NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Life Body Medicine, PLLC Internal Medicine CurrentSince Dec 31, 2021 Accepting new patients
Mill Hill Medical Consultants Inc CurrentSince Sep 12, 2012 Accepting new patients
Northeast Medical Group, Inc. Internal Medicine CurrentSince Sep 12, 2012 Accepting new patients
Greenwich Hospital CurrentSince Aug 18, 2019 Accepting new patients
Greenwich Hospital CurrentSince Aug 18, 2019 Accepting new patients
Neighborhood Health, Inc. Internal Medicine CurrentSince Nov 12, 2015 Accepting new patients
Saint Raphael Faculty Physicians Internal Medicine Past Accepting new patients
Cogent Healthcare of Minnesota, PC Internal Medicine Past Accepting new patients

Locations

2800 Main St
Bridgeport, CT 06606
Phone (203) 386-0366

5 Perryridge Rd
Greenwich, CT 06830
Phone (203) 661-5330

1354 Chapel St
New Haven, CT 06511
Phone (203) 867-8300

1450 Chapel St
New Haven, CT 06511
Phone (203) 789-3151

789 Howard Ave
North Haven, CT 06519
Phone (203) 688-2471

95 Armory Rd
Stratford, CT 06614
Phone (203) 384-3388

6 Tuxedo Ave
#1
New Hyde Park, NY 11040

6 Tuxedo Ave
New Hyde Park, NY 11040
Phone (347) 517-2355

Networks

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

Interoperability endpoints

  • Direct secure messaging: uthampy100547@direct.ynhh.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/CGJFCD/Endpoint/CGJFCD

Organizations & group practices 8

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.

Hospital & facility affiliations 1

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": "1242950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649635200000",
    "number": "1093940843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 MCCULLOCH DR",
            "city": "DIX HILLS",
            "state": "NY",
            "postal_code": "117468304",
            "telephone_number": "516-395-1835",
            "fax_number": "516-324-0494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 TUXEDO AVE",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110403519",
            "telephone_number": "203-789-4044",
            "fax_number": "203-789-3007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAMPY",
        "first_name": "UNNIKRISHNAN",
        "middle_name": "NARAYANAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-22",
        "last_updated": "2022-04-11",
        "certification_date": "2022-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "48367",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "250527",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hyde Park, NY

Sources for this page

Verify at the official NPI Registry.