Individual provider Active NPI

Kadirawelpillai Iswara, MD

  • Gastroenterology Physician
  • Brooklyn, NY
National Provider Identifier
1265506828
Registry record updated Jul 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
115155 Issued in NY
Practice address
2511 Ocean Ave
Suite 104
Brooklyn, NY 11229
Phone
(718) 615-0400
Fax
(718) 615-0874
NPI assigned
Nov 17, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 115155 NY Primary

Addresses

Primary practice location

2511 Ocean Ave
Suite 104
Brooklyn, NY 11229

Mailing address

2511 Ocean Ave
Suite 104
Brooklyn, NY 11229
Phone (718) 615-0400

Other identifiers 1

IdentifierTypeStateIssuer
00211647MedicaidNY

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
I20080122000315 NY Practitioner - GastroenterologyPractitioner - Internal Medicine 5193806784 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 1968
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Maimonides Medical Center MMC Gastroenterology FPPGroup PAC ID 4981595055, 14 clinicians
Gastrointestinal Care of Long Island PLLCGroup PAC ID 7517042211, 175 clinicians

Practice addresses (Care Compare)

4802 10TH Ave
Brooklyn, NY 11219-2916
Phone (718) 283-7732

6010 Bay Pkwy
Suite 801
Brooklyn, NY 11204-6080
Phone (718) 615-0400

Hospital & facility affiliations

  • Maimonides Medical Center Hospital, Brooklyn, NY, CCN 330194

Merit-based Incentive Payment System (MIPS)

Final score
84.15 of 100Reported as individual
Quality
69.82
Improvement activities
40
Cost
76.58

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy156
Upper gastrointestinal (GI) endoscopy for acid reflux160

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Maimonides Medical Center Current Accepting new patients
Gastrointestinal Care of Long Island PLLC Gastroenterology CurrentSince Aug 16, 2025 Accepting new patients
Nyc Medical of Queens PC PastSince Mar 9, 2020 Accepting new patients
University Group Medical Associates, P.C Past Accepting new patients

Locations

1375 Washington Ave
Ste 101
Albany, NY 12206
Phone (518) 438-4483

6010 Bay Pkwy
Fl 4
Brooklyn, NY 11204
Phone (718) 232-1749

6010 Bay Pkwy
Ste 801
Brooklyn, NY 11204
Phone (718) 615-0400

4802 10th Ave
Brooklyn, NY 11219
Phone (718) 283-8724

6010 Bay Pkwy
Fl Fourth
Brooklyn, NY 11204
Phone (718) 615-0400

6010 Bay Pkwy
Brooklyn, NY 11204
Phone (718) 238-2100

7916 37th Ave
Jackson Heights, NY 11372
Phone (212) 927-0013

187 Veterans Blvd
Massapequa, NY 11758
Phone (516) 795-5523

Networks

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

Interoperability endpoints

  • Direct secure messaging: kadirawelpillai.iswara.1@24721.direct.athenahealth.com
  • Direct secure messaging: kadirawelpiswara@mai.allscriptsdirect.net
  • FHIR API: https://fhir4.healow.com/fhir/r4/CAEACD

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 1

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": "1163721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215475200000",
    "number": "1265506828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2511 OCEAN AVE",
            "address_2": "SUITE 104",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11229",
            "telephone_number": "718-615-0400",
            "fax_number": "718-615-0874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2511 OCEAN AVE",
            "address_2": "SUITE 104",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11229",
            "telephone_number": "718-615-0400",
            "fax_number": "718-615-0874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISWARA",
        "first_name": "KADIRAWELPILLAI",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-17",
        "last_updated": "2008-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "115155",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00211647",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.