Active NPI
Khalil Innabi, M.D.
- Family Medicine Physician
- Yonkers, NY
National Provider Identifier
1336184290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 204019
- Practice address
- 45 Ludlow St
Suite 700
Yonkers, NY 10705-1947 - Phone
- (914) 375-2700
- Fax
- (914) 375-0404
- NPI assigned
- Jun 17, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 204019 | NY | Primary |
Addresses
Primary practice location
45 Ludlow St
Suite 700
Yonkers, NY 10705-1947
Mailing address
45 Ludlow St
Suite 700
Yonkers, NY 10705-1947
Phone (914) 375-2700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02041087 | Medicaid | NY |
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
- Family Practice
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
45 Ludlow St
Yonkers, NY 10705-1951
Phone (914) 375-2700
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 204019 | NY | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Yonkers Family Practice, PC | Current | Accepting new patients |
Locations
45 Ludlow St
Ste 700
Yonkers, NY 10705
Phone (914) 375-2288
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
Organizations & group practices 1
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.
-
- Primary Care Clinic/Center
- Yonkers, NY
- NPI 1497944284
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Harrison, NY
- NPI 1679883037
-
- General Acute Care Hospital
- Yonkers, NY
- NPI 1578526695
-
- General Acute Care Hospital
- Yonkers, NY
- NPI 1477640258
-
- Adult Mental Health Clinic/Center
- Harrison, NY
- NPI 1932419306
Hospital
-
- Adult Mental Health Clinic/Center
- Harrison, NY
- NPI 1578873949
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348704000000",
"number": "1336184290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45 LUDLOW ST",
"address_2": "SUITE 700",
"city": "YONKERS",
"state": "NY",
"postal_code": "107051947",
"telephone_number": "914-375-2700",
"fax_number": "914-375-0404"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45 LUDLOW ST",
"address_2": "SUITE 700",
"city": "YONKERS",
"state": "NY",
"postal_code": "107051947",
"telephone_number": "914-375-2700",
"fax_number": "914-375-0404"
}
],
"practiceLocations": [],
"basic": {
"last_name": "INNABI",
"first_name": "KHALIL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-17",
"last_updated": "2012-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "204019",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02041087",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Yonkers, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2012; 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.