Individual provider Active NPI

Shankar Thampi, MD

  • Interventional Cardiology Physician
  • New York, NY
National Provider Identifier
1124412457
Registry record updated Aug 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
294735 Issued in NY
Practice address
130 E 77TH St
New York, NY 10075-1851
Phone
(212) 434-6861
NPI assigned
Mar 25, 2015
Last updated
Aug 1, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 294735 NY
Interventional Cardiology Physician 207RI0011X 294735 NY Primary

Addresses

Primary practice location

130 E 77TH St
New York, NY 10075-1851

Mailing address

130 E 77TH St
New York, NY 10075-1851
Phone (212) 434-6861

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
I20200514002167 NY Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Interventional Cardiology 7214368885 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine, Interventional Cardiology
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Shore-Lij Medical PCGroup PAC ID 3375701568, 6,374 clinicians
Wyckoff Professional Medical Services PCGroup PAC ID 6406748607, 154 clinicians
New York Heart and Vascular Specialists PCGroup PAC ID 1557528569, 4 clinicians

Practice addresses (Care Compare)

100 E 77TH St
New York, NY 10075-1850
Phone (212) 434-6980

374 Stockholm St
Brooklyn, NY 11237-4006
Phone (718) 963-7266

7554 Metropolitan Ave
Middle Village, NY 11379-2639
Phone (347) 350-9344

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
New York Heart and Vascular Specialists PC Cardiovascular Disease CurrentSince Nov 11, 2023 Accepting new patients
Wyckoff Professional Medical Services, PC Cardiovascular Disease CurrentSince Dec 9, 2023 Accepting new patients
Suryanarayan Anand MD PC Past Accepting new patients
Lenox Hill Hospital Past Accepting new patients

Locations

1471 DeKalb Ave
Brooklyn, NY 11237
Phone (347) 450-9344

1471 DeKalb Ave
Fl 4
Brooklyn, NY 11237
Phone (347) 425-1789

3309 Church Ave
Brooklyn, NY 11203
Phone (347) 425-1789

374 Stockholm St
Brooklyn, NY 11237
Phone (718) 963-6485

7554 Metropolitan Ave
Middle Vlg, NY 11379
Phone (718) 326-0400

Networks

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

Interoperability endpoints

  • Direct secure messaging: sthampi64538@northwell.direct-ci.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1427241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690848000000",
    "number": "1124412457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 E 77TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100751851",
            "telephone_number": "212-434-6861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 E 77TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100751851",
            "telephone_number": "212-434-6861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAMPI",
        "first_name": "SHANKAR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-03-25",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "294735",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NY",
            "license": "294735",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.