Individual provider Active NPI

Chaula Sunil Kharode, M.D.

  • Neurology with Special Qualifications in Child Neurology Physician
  • Mineola, NY
National Provider Identifier
1104864263
Registry record updated Mar 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X
License
180506 Issued in NY
Practice address
173 Mineola Blvd Ste 101
Mineola, NY 11501-2529
Phone
(516) 663-9494
NPI assigned
Jun 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 180506 NY
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X 180506 NY Primary

Addresses

Primary practice location

173 Mineola Blvd Ste 101
Mineola, NY 11501-2529

Mailing address

530 Hicksville Rd
Bethpage, NY 11714-3415
Phone (516) 937-3511

Other practice location 1

530 Hicksville Rd
Bethpage, NY 11714-3415
Phone (516) 937-3511

Other identifiers 2

IdentifierTypeStateIssuer
A400042619OtherNYMEDICARE PTAN
01836391MedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ckharode238847@nyumc.direct-ci.com

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
I20060314000101 NY Practitioner - Pediatric MedicinePractitioner - Neurology 9537176748 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric MedicineAlso: Neurology
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians

Practice addresses (Care Compare)

111 Broadway
New York, NY 10006-1901
Phone (212) 263-9700

530 Hicksville Rd
Bethpage, NY 11714-3415
Phone (516) 937-5000

Merit-based Incentive Payment System (MIPS)

Final score
90.8 of 100Reported as group
Quality
91.79
Promoting interoperability
100
Improvement activities
40
Cost
75.18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
180506NYMDNeurology with Special Qualifications in Child Neurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New York University CurrentSince Oct 1, 2018 Accepting new patients
New York University CurrentSince Oct 1, 2018 Accepting new patients
NYU Langone Hospitals Past Accepting new patients

Locations

530 Hicksville Rd
Bethpage, NY 11714
Phone (516) 937-3511

1111 Franklin Ave
Garden City, NY 11530
Phone (516) 222-8600

1300 Franklin Ave
Ste ML6
Garden City, NY 11530
Phone (516) 353-1900

340 W Park Ave
Long Beach, NY 11561
Phone (516) 431-5064

120 Mineola Blvd
Ste 600
Mineola, NY 11501
Phone (516) 663-4525

173 Mineola Blvd
Ste 101
Mineola, NY 11501
Phone (516) 663-9494

259 1st St
Mineola, NY 11501
Phone (516) 576-1820

1 Healthy Way
Oceanside, NY 11572
Phone (516) 255-1581

14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224

Networks

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

Interoperability endpoints

  • Direct secure messaging: ckharode238847@nyumc.direct-ci.com

Organizations & group practices 3

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": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616544000000",
    "number": "1104864263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 HICKSVILLE RD",
            "city": "BETHPAGE",
            "state": "NY",
            "postal_code": "117143415",
            "telephone_number": "516-937-3511",
            "fax_number": "516-937-1011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "173 MINEOLA BLVD STE 101",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115012529",
            "telephone_number": "516-663-9494"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "530 Hicksville Rd",
            "address_purpose": "LOCATION",
            "city": "Bethpage",
            "state": "NY",
            "postal_code": "117143415",
            "country_code": "US",
            "telephone_number": "516-937-3511",
            "fax_number": "516-937-1011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHARODE",
        "first_name": "CHAULA",
        "middle_name": "SUNIL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-02",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "180506",
            "primary": false
        },
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "NY",
            "license": "180506",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "A400042619",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01836391",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ckharode238847@nyumc.direct-ci.com",
            "affiliation": "N",
            "address_1": "173 Mineola Blvd Ste 101",
            "city": "Mineola",
            "state": "NY",
            "country_code": "US",
            "postal_code": "115012529",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mineola, NY

Sources for this page

Verify at the official NPI Registry.