Active NPI
Yashodhara Kirtane
- Allergy & Immunology (Internal Medicine) Physician
- Rockaway Park, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology (Internal Medicine) Physician
- License
- 154995
- Practice address
- 114-12 Beach Channel Dr
Rockaway Park, NY 11694-1514 - Phone
- (718) 318-6021
- Fax
- (718) 318-4802
- NPI assigned
- May 23, 2006
- Last updated
- Mar 9, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Allergy & Immunology (Internal Medicine) Physician | 207RA0201X | 154995 | NY | Primary |
Addresses
Primary practice location
114-12 Beach Channel Dr
Rockaway Park, NY 11694-1514
Mailing address
114-12 Beach Channel Dr
Rockaway Park, NY 11694-1514
Phone (718) 318-6021
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2099733 | Other | NY | GHI |
| 271AU2 | Other | NY | BC/BS |
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
- Allergy/Immunology
- Education
- Other, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2001 Marcus Ave
New Hyde Park, NY 11042-2061
Phone (855) 364-6257
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
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.07 of 100
- Quality
- 79.77
- Promoting interoperability
- 88.77
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 154995 | NY | MD | Allergy & Immunology (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore-Lij Medical PC | Current | Accepting new patients | |
| North Shore - Lij Medical PC | Current | Accepting new patients | |
| Yashodhara Kirtane M.D.PLLC | Allergy & Immunology | Past | Accepting new patients |
| Sanjay S Kirtane MD PC | Past | Accepting new patients |
Locations
10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091
215 Rockaway Tpke
Lawrence, NY 11559
Phone 51637450245
300 Community Dr
Manhasset, NY 11030
27005 76th Ave
North New Hyde Pk, NY 11040
972 Brush Hollow Rd
Westbury, NY 11590
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- yashodharakirtane@nslijmedgr.allscriptsdirect.net
- yashodharasanjaykirtane@nslijmedgr.allscriptsdirect.net
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba NHPP Cardiology at Great Neck
- Urology Physician
- Great Neck, NY
- NPI 1053688572
-
- Allergy & Immunology (Internal Medicine) Physician
- Rockaway Park, NY
- NPI 1417902248
-
dba NSLIJ Medical In Queens
- Internal Medicine Physician
- New Hyde Park, NY
- NPI 1790043479
-
- Cardiovascular Disease Physician
- Lawrence, NY
- NPI 1760424865
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1299628800000",
"number": "1275588022",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "114-12 BEACH CHANNEL DR",
"city": "ROCKAWAY PARK",
"state": "NY",
"postal_code": "116941514",
"telephone_number": "718-318-6021",
"fax_number": "718-318-4802"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "114-12 BEACH CHANNEL DR",
"city": "ROCKAWAY PARK",
"state": "NY",
"postal_code": "116941514",
"telephone_number": "718-318-6021",
"fax_number": "718-318-4802"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIRTANE",
"first_name": "YASHODHARA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-05-23",
"last_updated": "2011-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "207RA0201X",
"taxonomy_group": "",
"desc": "Internal Medicine, Allergy & Immunology",
"state": "NY",
"license": "154995",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "2099733",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "271AU2",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rockaway Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2011; 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.