Individual provider Active NPI

Latha Thanneer, MD

  • Cardiovascular Disease Physician
  • White Plains, NY
National Provider Identifier
1306927579
Registry record updated Jul 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
219789 Issued in NY
Practice address
27 Barker Ave Apt 804
White Plains, NY 10601-1564
Phone
(914) 358-1266
NPI assigned
Oct 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 219789 NY Primary

Addresses

Primary practice location

27 Barker Ave Apt 804
White Plains, NY 10601-1564

Mailing address

17 Legendary Cir
Rye Brook, NY 10573-1076
Phone (914) 714-3799

Other identifiers 1

IdentifierTypeStateIssuer
00246075MedicaidNY

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
I20101130000631 NY Practitioner - Cardiovascular Disease (Cardiology) 0547456709 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern Westchester Family Medicine, P.C.Group PAC ID 4082638044, 2 clinicians
Mihail Medvedovsky Physician PCGroup PAC ID 3779474937, 12 clinicians
Aristahealth Medical Care PCGroup PAC ID 3375708068, 11 clinicians

Practice addresses (Care Compare)

1088 N Broadway
Yonkers, NY 10701-1107
Phone (914) 207-0004

147 Park Ave
Yonkers, NY 10703-2937
Phone (914) 375-4433

3039 Ocean Pkwy
Brooklyn, NY 11235-8378
Phone (718) 946-9070

452 Fort Washington Ave
1St Floor
New York, NY 10033-4600
Phone (866) 996-1616

Hospital & facility affiliations

  • St John'S Riverside Hospital Hospital, Yonkers, NY, CCN 330208

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
219789NYMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tender Medical Care PC CurrentSince Jul 1, 2020 Accepting new patients
Mihail Medvedovsky Physician PC CurrentSince May 1, 2014 Accepting new patients
Summit Health Cardiovascular Disease CurrentSince Aug 1, 2020 Accepting new patients
Heartbeat Medical, PC Cardiovascular Disease CurrentSince Sep 13, 2010 Accepting new patients
Brooklyn Comprehensive Care Center Inc. CurrentSince Sep 1, 2025 Accepting new patients
Aristahealth Medical Care PC CurrentSince Feb 13, 2025 Accepting new patients
Jolade Medical & Rehab.P.C. PastSince Aug 1, 2015 Accepting new patients
Yakov Levy MD PC Past Accepting new patients

Locations

24818 Union Tpke
Bellerose, NY 11426
Phone (718) 300-3368

4238 Bronx Blvd
Bronx, NY 10466
Phone (718) 325-9532

814 E 156th St
Bronx, NY 10455
Phone (718) 665-0223

3039 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 946-9070

3744 75th St
Jackson Hts, NY 11372
Phone (718) 672-5529

3744 75th St
Ste 1
Jackson Hts, NY 11372

133 E 58th St
Ste 1002
New York, NY 10022
Phone (212) 355-9400

4902 Queens Blvd
Woodside, NY 11377
Phone (718) 205-0550

4902 Queens Blvd
Ste 3
Woodside, NY 11377
Phone (718) 577-2235

75 S Broadway
Yonkers, NY 10701
Phone (914) 376-7134

1088 N Broadway
Yonkers, NY 10701
Phone (914) 964-4965

147 Park Ave
Ste 1
Yonkers, NY 10703

Networks

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

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": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436486400000",
    "number": "1306927579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 LEGENDARY CIR",
            "city": "RYE BROOK",
            "state": "NY",
            "postal_code": "105731076",
            "telephone_number": "914-714-3799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 BARKER AVE APT 804",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106011564",
            "telephone_number": "914-358-1266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THANNEER",
        "first_name": "LATHA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2015-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "219789",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00246075",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in White Plains, NY

Sources for this page

Verify at the official NPI Registry.