Active NPI
Katrina Suzanne Bradley, MD
- Obstetrics & Gynecology Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 232265-1
- Practice address
- 232 West 80TH Street
New York, NY 10024 - Phone
- (646) 962-3020
- Fax
- (646) 962-3020
- NPI assigned
- Feb 13, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 232265-1 | NY | Primary |
Addresses
Primary practice location
232 West 80TH Street
New York, NY 10024
Mailing address
200 W 90TH St Apt 12F
New York, NY 10024-1236
Phone (646) 425-3935
Other practice location 1
232 West 80th street
Ste 3A
New York, NY 10024-3666
Phone (646) 962-3020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02667403 | Medicaid | NY |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Tulane University School of Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
525 E 68TH St
New York, NY 10065-4870
Phone (212) 746-3268
Hospital & facility affiliations
- New York-Presbyterian Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 85.32
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 232265-1 | NY | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Weill Medical College of Cornell | Obstetrics & Gynecology | Current | Accepting new patients |
| Weill Medical College of Cornell | Current | Accepting new patients | |
| Cornell University Medical College | Past | Accepting new patients | |
| St Lukes Roosevelt Hospital Center | Obstetrics & Gynecology | Past | Accepting new patients |
Locations
1111 Amsterdam Ave
New York, NY 10025
Phone (212) 523-2309
1000 10th Ave
New York, NY 10019
Phone (212) 523-2369
525 E 68th St
New York, NY 10065
Phone (212) 746-2846
232 W 80th St
Ste 3A
New York, NY 10024
Phone (646) 962-3020
232 W 80th St
New York, NY 10024
Phone (646) 962-3020
525 E 68th St
#J130
New York, NY 10065
Phone (212) 746-3000
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
Interoperability endpoints
- ksb9014@direct.nyp.org
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.
-
- Obstetrics & Gynecology Physician
- New York, NY
- NPI 1013958610
-
- Obstetrics & Gynecology Physician
- New York, NY
- NPI 1922411065
-
- Cardiovascular Disease Physician
- New York, NY
- NPI 1144729385
-
- Psychologist
- White Plains, NY
- NPI 1528084910
-
- Obstetrics & Gynecology Physician
- New York, NY
- NPI 1285600106
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- New York, NY
- NPI 1144504044
-
- General Acute Care Hospital
- New York, NY
- NPI 1194832477
-
- General Acute Care Hospital
- Bronxville, NY
- NPI 1780196345
-
- General Acute Care Hospital
- New York, NY
- NPI 1952332801
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609804800000",
"number": "1245204809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 W 90TH ST APT 12F",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100241236",
"telephone_number": "646-425-3935"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "232 WEST 80TH STREET",
"city": "NEW YORK",
"state": "NY",
"postal_code": "10024",
"telephone_number": "646-962-3020",
"fax_number": "646-962-3020"
}
],
"practiceLocations": [
{
"address_1": "232 West 80th street",
"address_2": "Ste 3A",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100243666",
"country_code": "US",
"telephone_number": "646-962-3020",
"fax_number": "646-962-0088",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BRADLEY",
"first_name": "KATRINA",
"middle_name": "SUZANNE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-13",
"last_updated": "2021-01-05",
"certification_date": "2020-12-31",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NY",
"license": "232265-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02667403",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.