Individual provider Active NPI

Ajith K Karayil, MD

  • Family Medicine Physician
  • Bronx, NY
National Provider Identifier
1104011618
Registry record updated Jan 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
251400 Issued in NY
Practice address
1575 Westchester Ave
Bronx, NY 10472-2912
Phone
(718) 842-8900
Fax
(718) 589-7952
NPI assigned
Sep 7, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 20, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 40424 KY
Family Medicine Physician 207Q00000X 251400 NY Primary

Addresses

Primary practice location

1575 Westchester Ave
Bronx, NY 10472-2912

Mailing address

34 Inverness CT
White Plains, NY 10605-5113
Phone (606) 909-2289

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
I20110616000493 NY Practitioner - Family Practice 7012004658 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1575 Westchester Ave
Bronx, NY 10472-2912
Phone (718) 842-8900

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Westchester Avenue Family Medicine PC Family Medicine CurrentSince Jan 3, 2012 Accepting new patients
Wali Mohammad, M.D., P.C. PastSince Jan 17, 2021 Accepting new patients

Locations

1561 Westchester Ave
Bronx, NY 10472
Phone (718) 328-6200

1575 Westchester Ave
Bronx, NY 10472
Phone (718) 328-2013

Networks

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

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DBJFBA/Endpoint/DBJFBA

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1189123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611100800000",
    "number": "1104011618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 INVERNESS CT",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106055113",
            "telephone_number": "606-909-2289",
            "fax_number": "718-589-7952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1575 WESTCHESTER AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104722912",
            "telephone_number": "718-842-8900",
            "fax_number": "718-589-7952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARAYIL",
        "first_name": "AJITH",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-07",
        "last_updated": "2021-01-20",
        "certification_date": "2021-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "40424",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "251400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.