Individual provider Active NPI

Julia Zakhaleva, MD

  • Colon & Rectal Surgery Physician
  • Hamden, CT
National Provider Identifier
1154574606
Registry record updated May 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
54138 Issued in CT
Practice address
2200 Whitney Ave
Suite 220
Hamden, CT 06518-3691
Phone
(203) 281-7000
Fax
(203) 281-9300
NPI assigned
Oct 28, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2017

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 54138 CT
Surgery Physician 208600000X ME 112785 FL
Student in an Organized Health Care Education/Training Program 390200000X ME112785 FL
Colon & Rectal Surgery Physician 208C00000X 54138 CT Primary

Addresses

Primary practice location

2200 Whitney Ave
Suite 220
Hamden, CT 06518-3691

Mailing address

322 E Main St
Suite 1B
Branford, CT 06405-3136
Phone (203) 488-7228

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
I20181011001385 NY Practitioner - General SurgeryPractitioner - Colorectal Surgery (Proctology) 1355587460 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Colorectal Surgery (Proctology)
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Icahn School of Medicine at Mount SinaiGroup PAC ID 2264691070, 2,809 clinicians

Practice addresses (Care Compare)

1819 E 13TH St
Brooklyn, NY 11229-2870
Phone (212) 844-6481

Hospital & facility affiliations

  • Mount Sinai Beth Israel Hospital, New York, NY, CCN 330169

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
291252NYMDLicensed Practical Nurse
ME 112785FLMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Icahn School of Medicine at Mount Sinai Surgery Current Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Aug 28, 2018 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Aug 28, 2018 Accepting new patients
Beth Israel Medical Center Past Accepting new patients
Beth Israel Medical Center Past Accepting new patients

Locations

1819 E 13th St
Brooklyn, NY 11229
Phone (718) 769-0707

5 E 98th St
Fl 5
New York, NY 10029
Phone (212) 241-8234

Networks

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

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1225152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494979200000",
    "number": "1154574606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 E MAIN ST",
            "address_2": "SUITE 1B",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "064053136",
            "telephone_number": "203-488-7228",
            "fax_number": "203-488-7227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 WHITNEY AVE",
            "address_2": "SUITE 220",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065183691",
            "telephone_number": "203-281-7000",
            "fax_number": "203-281-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZAKHALEVA",
        "first_name": "JULIA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-28",
        "last_updated": "2017-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CT",
            "license": "54138",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME 112785",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "FL",
            "license": "ME112785",
            "primary": false
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "CT",
            "license": "54138",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamden, CT

Sources for this page

Verify at the official NPI Registry.