Individual provider Active NPI

Vikram Wadhera, M.D.

  • Transplant Surgery Physician
  • New York, NY
National Provider Identifier
1225288830
Registry record updated Mar 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Transplant Surgery PhysicianTaxonomy code 204F00000X
License
268947 Issued in NY
Practice address
The Mount Sinai Hospital
One Gustave L. Levy Place
New York, NY 10029
Phone
(212) 241-8035
Fax
(212) 731-7340
NPI assigned
Sep 19, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Transplant Surgery Physician 204F00000X 25MA10702700 NJ
Surgery Physician 208600000X 268947 NY
Transplant Surgery Physician 204F00000X 268947 NY Primary

Addresses

Primary practice location

The Mount Sinai Hospital
One Gustave L. Levy Place
New York, NY 10029

Mailing address

PO Box 1104
New York, NY 10029-0311
Phone (212) 241-8035

Other identifiers 2

IdentifierTypeStateIssuer
03712365MedicaidNY
0521116MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20131111001629 NY Practitioner - General Surgery 0446486971 Reassigns benefits to 1 organization
I20200305001643 NJ Practitioner - General Surgery 0446486971 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1 Gustave L Levy PL (KCC
New York, NY 10029-6508
Phone (212) 241-8545

1436 Broadway
Hewlett, NY 11557-1405
Phone (516) 563-7200

1450 Madison Ave
New York, NY 10029-6508
Phone (212) 241-8545

5 E 98TH St
New York, NY 10029-6501

5 E 98TH St Box
Suite 1263
New York, NY 10029-6501
Phone (212) 241-8545

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
268947NYMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hackensack Meridian Health Medical Group - Specialty Care PC CurrentSince Feb 1, 2020 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Aug 16, 2015 Accepting new patients
Hackensack Meridian Health Medical Group - Specialty Care PC Transplant Surgery CurrentSince Feb 1, 2020 Accepting new patients
Icahn School of Medicine at Mount Sinai Transplant Surgery CurrentSince Aug 16, 2015 Accepting new patients
Icahn School of Medicine at Mount Sinai Past Accepting new patients
Mount Sinai Hospital Past Accepting new patients
Icahn School of Medicine at Mount Sinai Past Accepting new patients

Locations

20 Prospect Ave
Ste 406
Hackensack, NJ 07601
Phone (551) 996-2608

20 Prospect Ave
Hackensack, NJ 07601
Phone (201) 996-2816

30 Prospect Ave
Hackensack, NJ 07601
Phone (201) 488-0066

3600 State Route 66
Fl 3
Neptune City, NJ 07753
Phone (732) 807-0463

13516 Roosevelt Ave
Flushing, NY 11354
Phone (212) 420-2452

5 Cuba Hill Rd
Greenlawn, NY 11740
Phone (631) 628-5000

1436 Broadway
Hewlett, NY 11557
Phone (516) 563-7200

5 E 98th St
#12
New York, NY 10029
Phone (212) 241-8303

150 E 42nd St
Fl 10
New York, NY 10017
Phone (646) 605-8119

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

5 E 98th St
Fl 12
New York, NY 10029
Phone (212) 241-8303

341 Central Park Ave
Fl 2
Scarsdale, NY 10583

Networks

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

Interoperability endpoints

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

Organizations & group practices 7

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 7

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": "1221782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646265600000",
    "number": "1225288830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1104",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100290311",
            "telephone_number": "212-241-8035",
            "fax_number": "212-731-7340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "THE MOUNT SINAI HOSPITAL",
            "address_2": "ONE GUSTAVE L. LEVY PLACE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10029",
            "telephone_number": "212-241-8035",
            "fax_number": "212-731-7340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADHERA",
        "first_name": "VIKRAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-19",
        "last_updated": "2022-03-03",
        "certification_date": "2022-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204F00000X",
            "taxonomy_group": "",
            "desc": "Transplant Surgery",
            "state": "NJ",
            "license": "25MA10702700",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "268947",
            "primary": false
        },
        {
            "code": "204F00000X",
            "taxonomy_group": "",
            "desc": "Transplant Surgery",
            "state": "NY",
            "license": "268947",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03712365",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0521116",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.