Individual provider Active NPI

Vivekanand Kalanadhabhatta, M.D.

  • Allergy & Immunology Physician
  • Brooklyn, NY
National Provider Identifier
1295793263
Registry record updated Sep 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
182717 Issued in NY
Practice address
443 Linden Blvd
Brooklyn, NY 11203-2821
Phone
(718) 736-3591
Fax
(845) 252-9935
NPI assigned
May 1, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 26, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 182717 NY Primary
Internal Medicine Physician 207R00000X 182717 NY

Addresses

Primary practice location

443 Linden Blvd
Brooklyn, NY 11203-2821

Mailing address

PO Box 1050
New Hyde Park, NY 11040-0322
Phone (516) 761-7636

Other identifiers 1

IdentifierTypeStateIssuer
01468051MedicaidNM

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
I20041213001110 NY Practitioner - Internal MedicinePractitioner - Allergy/Immunology 6709843584 Reassigns benefits to 3 organizations
Practice locations: Brooklyn, NY

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Allergy/Immunology
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physician Affiliate Group of New York PCGroup PAC ID 4688098833, 1,222 clinicians

Practice addresses (Care Compare)

2601 Ocean Pkwy
Brooklyn, NY 11235-7745
Phone (718) 616-5356

Hospital & facility affiliations

  • South Brooklyn Health Hospital, Brooklyn, NY, CCN 330196

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
182717NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Interfaith Professional Physician Services, P.C. Internal Medicine CurrentSince Sep 1, 2020 Accepting new patients
Coney Island Medical Practice Plan, P.C. CurrentSince Aug 3, 2021 Accepting new patients
Physician Affiliate Group of New York PC CurrentSince Jul 1, 2024 Accepting new patients
Wyckoff Heights Medical Center Current Accepting new patients
Interfaith Emergency Medicine, P.C. Current Accepting new patients
Wyckoff Medical Services, P C Internal Medicine Past Accepting new patients
New York City Health and Hospitals Corporation Internal Medicine Past Accepting new patients
Allergy & Asthma Associates of Murray Hill, P C Allergy & Immunology Past Accepting new patients
Imtiyaz I Kapadwala DPM PC Past Accepting new patients

Locations

1545 Atlantic Ave
Brooklyn, NY 11213
Phone (718) 613-4175

1235 Linden Blvd
Fl 2
Brooklyn, NY 11212
Phone (718) 240-7143

2601 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 616-5354

506 Malcolm X Blvd
New York, NY 10037
Phone (212) 939-1000

Networks

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

Interoperability endpoints

  • Direct secure messaging: vkalanadhabhatta1663599@nychhc.direct-ci.com
  • Direct secure messaging: vivekanandkalanadhabhatta@whmc.allscriptsdirect.net

Organizations & group practices 9

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": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411689600000",
    "number": "1295793263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1050",
            "city": "NEW HYDE PARK",
            "state": "NY",
            "postal_code": "110400322",
            "telephone_number": "516-761-7636",
            "fax_number": "718-756-0545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "443 LINDEN BLVD",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112032821",
            "telephone_number": "718-736-3591",
            "fax_number": "845-252-9935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALANADHABHATTA",
        "first_name": "VIVEKANAND",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-01",
        "last_updated": "2014-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "NY",
            "license": "182717",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "182717",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01468051",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.