Individual provider Active NPI

Preya Ananthakrishnan, M.D.

  • Surgery Physician
  • White Plains, NY
National Provider Identifier
1104030535
Registry record updated Sep 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
090487 Issued in OH
Practice address
2 Longview Ave
Suite 400
White Plains, NY 10601-5000
Phone
(914) 849-7580
Fax
(914) 849-7555
NPI assigned
May 8, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 090487 OH Primary

Addresses

Primary practice location

2 Longview Ave
Suite 400
White Plains, NY 10601-5000

Mailing address

2 Longview Ave
Suite 400
White Plains, NY 10601-5000
Phone (914) 849-7580

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
I20091228000375 NY Practitioner - General Surgery 0840388815 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Louisville School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2 Longview Ave
FL 4
White Plains, NY 10601-5000
Phone (914) 849-7580

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.15 of 100Reported as group
Promoting interoperability
99
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy51
Melanoma (skin cancer) excision46

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
090487OHMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
White Plains Hospital Medical Center Surgery CurrentSince Jan 31, 2016 Accepting new patients
White Plains Hospital Medical Center Surgery Current Accepting new patients
White Plains Physician Services PC Surgery CurrentSince Mar 12, 2021 Accepting new patients
White Plains Hospital Medical Center Past Accepting new patients

Locations

99 Business Park Dr
Armonk, NY 10504
Phone (914) 219-8515

185 Kisco Ave
Ste 300
Mount Kisco, NY 10549
Phone (914) 242-2020

2 Longview Ave
Fl 4
White Plains, NY 10601
Phone (914) 681-2703

41 E Post Rd
White Plains, NY 10601
Phone (914) 681-1201

2 Longview Ave
Ste 400
White Plains, NY 10601
Phone (914) 849-7580

Networks

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

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 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": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474329600000",
    "number": "1104030535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 LONGVIEW AVE",
            "address_2": "SUITE 400",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106015000",
            "telephone_number": "914-849-7580",
            "fax_number": "914-849-7555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 LONGVIEW AVE",
            "address_2": "SUITE 400",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106015000",
            "telephone_number": "914-849-7580",
            "fax_number": "914-849-7555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANANTHAKRISHNAN",
        "first_name": "PREYA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-08",
        "last_updated": "2016-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OH",
            "license": "090487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Plains, NY

Sources for this page

Verify at the official NPI Registry.