Individual provider Active NPI

Aditya Rachakonda, MD

  • Vascular Surgery Physician
  • Sleepy Hollow, NY
National Provider Identifier
1225329204
Registry record updated Aug 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
285472 Issued in NY
Practice address
755 North Broadway
Suite 530
Sleepy Hollow, NY 10591
Phone
(914) 366-1620
Fax
(914) 366-1619
NPI assigned
Apr 26, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 285472 NY Primary

Addresses

Primary practice location

755 North Broadway
Suite 530
Sleepy Hollow, NY 10591

Mailing address

755 North Broadway
Suite 530
Sleepy Hollow, NY 10591
Phone (914) 366-1620

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
I20170721000144 NY Practitioner - Vascular Surgery 5395015523 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
North Shore-Lij Medical PCGroup PAC ID 3375701568, 6,374 clinicians
North Shore-Lij Medical Group at Huntington PCGroup PAC ID 7214357086, 46 clinicians

Practice addresses (Care Compare)

100 S Bedford Rd
Mount Kisco, NY 10549-3425
Phone (914) 242-1518

1034 N Broadway
Yonkers, NY 10701-1328
Phone (914) 631-0290

110 S Bedford Rd
Mount Kisco, NY 10549-3446
Phone (914) 242-1360

2001 Marcus Ave
Suite S50
New Hyde Park, NY 11042-1039
Phone (516) 328-9800

300 Community Dr
Manhasset, NY 11030-3816

300 Community Dr LL
Manhasset, NY 11030-3816
Phone (516) 562-2229

330 Community Dr
Manhasset, NY 11030-3816
Phone (516) 708-2550

350 Community Dr
Manhasset, NY 11030-3816
Phone (516) 562-3845

400 E Main St
Mount Kisco, NY 10549-3417
Phone (914) 666-1371

480 Bedford Rd
Chappaqua, NY 10514-1715
Phone (914) 458-8769

701 N Broadway
Sleepy Hollow, NY 10591-1020
Phone (914) 269-1914

755 N Broadway
Sleepy Hollow, NY 10591-1075
Phone (516) 734-8900

755 N Broadway
Suite 530
Sleepy Hollow, NY 10591-1087
Phone (914) 366-1620

Hospital & facility affiliations

  • North Shore Home Care Chha Home health agency, Westbury, NY, CCN 337148
  • Northern Westchester Hospital Hospital, Mount Kisco, NY, CCN 330162
  • Phelps Hospital Hospital, Sleepy Hollow, NY, CCN 330261

Merit-based Incentive Payment System (MIPS)

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal29
Leg revascularization (restoring blood flow)29
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore-Lij Medical PC CurrentSince May 20, 2017 Accepting new patients
North Shore-Lij Medical Group at Huntington PC Vascular Surgery CurrentSince Oct 1, 2025 Accepting new patients

Locations

480 Bedford Rd
Bldg D
Chappaqua, NY 10514
Phone (914) 242-1360

2001 Marcus Ave
Ste S50
New Hyde Park, NY 11042
Phone (516) 355-2277

300 Community Dr
Plandome, NY 11030

755 N Broadway
Ste 530
Sleepy Hollow, NY 10591
Phone (914) 366-1620

972 Brush Hollow Rd
Westbury, NY 11590

1034 N Broadway
Ste 201
Yonkers, NY 10701
Phone (718) 267-2445

Networks

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

Interoperability endpoints

  • Direct secure messaging: adityarachakonda@nslijmedgr.allscriptsdirect.net
  • Direct secure messaging: arachakonda23911@northwell.direct-ci.com

Organizations & group practices 2

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 5

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": "1303776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660003200000",
    "number": "1225329204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 NORTH BROADWAY",
            "address_2": "SUITE 530",
            "city": "SLEEPY HOLLOW",
            "state": "NY",
            "postal_code": "10591",
            "telephone_number": "914-366-1620",
            "fax_number": "914-366-1619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 NORTH BROADWAY",
            "address_2": "SUITE 530",
            "city": "SLEEPY HOLLOW",
            "state": "NY",
            "postal_code": "10591",
            "telephone_number": "914-366-1620",
            "fax_number": "914-366-1619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RACHAKONDA",
        "first_name": "ADITYA",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-26",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NY",
            "license": "285472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sleepy Hollow, NY

Sources for this page

Verify at the official NPI Registry.