NPIMap

Individual provider Active NPI

Shalini Priya Kardam, M.D.

  • Internal Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1245502822
Registry record updated Feb 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
50830 Issued in TN
Practice address
753 Classon Ave Apt LF
Brooklyn, NY 11238-4614
Phone
(718) 288-7952
NPI assigned
Jan 30, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 50830 TN Primary
Internal Medicine Physician 207R00000X MD446874 PA
Internal Medicine Physician 207R00000X 25MA09187100 NJ

Addresses

Primary practice location

753 Classon Ave Apt LF
Brooklyn, NY 11238-4614

Mailing address

753 Classon Ave Apt LF
Brooklyn, NY 11238-4614
Phone (718) 288-7952

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, TN, NC3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20121220000065 PA Practitioner - Internal MedicinePractitioner - Hospitalist 7012169030 Reassigns benefits to 1 organization
I20140804002015 TN Practitioner - Internal Medicine 7012169030 Reassigns benefits to 1 organization
I20180105001447 NC Practitioner - HospitalistPractitioner - Internal Medicine 7012169030 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolinas Physicians Network IncGroup PAC ID 3375449655, 2,324 clinicians

Practice addresses (Care Compare)

1000 Blythe Blvd
Charlotte, NC 28203-5812
Phone (704) 355-0720

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.42 of 100Reported as group
Quality
75.58
Improvement activities
40
Cost
72.74

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA09187100NJMDInternal Medicine Physician
MD446874PAMDInternal Medicine Physician
50830TNMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carolinas Physicians Network Inc CurrentSince Dec 30, 2024 Accepting new patients
Apogee Medical Group North Carolina CurrentSince Oct 14, 2017 Accepting new patients
Carolinas Physicians Network Inc Internal Medicine CurrentSince Dec 30, 2024 Accepting new patients
Carolinas Physicians Network Inc Current Accepting new patients
Apogee Medical Group Tennessee PC Internal Medicine CurrentSince Jun 1, 2014 Accepting new patients
J. C. Blair Memorial Hospital Past Accepting new patients
Apogee Medical Group of New Jersey PA Internal Medicine Past Accepting new patients

Locations

15059 N Scottsdale Rd
Ste 600
Scottsdale, AZ 85254
Phone (602) 778-3601

10648 Park Rd
Charlotte, NC 28210
Phone (704) 355-9330

1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791

615 Ridge Rd
Roxboro, NC 27573
Phone (336) 503-5699

1705 Tarboro St SW
Wilson, NC 27893
Phone (252) 399-8040

110 Hospital Dr
Jefferson Cty, TN 37760
Phone (865) 471-2431

1607 S Locust Ave
Lawrenceburg, TN 38464
Phone (731) 287-2244

Organizations & group practices 8

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": "1327881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423699200000",
    "number": "1245502822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "753 CLASSON AVE APT LF",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112384614",
            "telephone_number": "718-288-7952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "753 CLASSON AVE APT LF",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112384614",
            "telephone_number": "718-288-7952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARDAM",
        "first_name": "SHALINI",
        "middle_name": "PRIYA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-01-30",
        "last_updated": "2015-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "50830",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD446874",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA09187100",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.