Active NPI
Vivekanand Kalanadhabhatta, M.D.
- Allergy & Immunology Physician
- Brooklyn, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- 182717
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01468051 | Medicaid | NM |
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
- Internal Medicine
- Education
- Other, 1975
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2601 Ocean Pkwy
Brooklyn, NY 11235-7745
Phone (718) 616-5356
Hospital & facility affiliations
- South Brooklyn Health
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 182717 | NY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Interfaith Professional Physician Services, P.C. | Internal Medicine | Current | Accepting new patients |
| Coney Island Medical Practice Plan, P.C. | Current | Accepting new patients | |
| Physician Affiliate Group of New York PC | Current | 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
- vkalanadhabhatta1663599@nychhc.direct-ci.com
- 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.
-
- Registered Dietitian
- New York, NY
- NPI 1013375526
-
- General Practice Physician
- Brooklyn, NY
- NPI 1386951762
-
- Allergy Physician
- Brooklyn, NY
- NPI 1457643991
Internal Medicine
-
- Emergency Medicine Physician
- Brooklyn, NY
- NPI 1457643785
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1700886322
-
- Allergy & Immunology Physician
- New York, NY
- NPI 1245421171
-
- Specialist
- Brooklyn, NY
- NPI 1134199599
-
- General Acute Care Hospital
- Bronx, NY
- NPI 1679587679
Internal Medicine
-
- Internal Medicine Physician
- Brooklyn, NY
- NPI 1558308411
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1124032982
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2014; 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.