Active NPI
Sabu John, M.D
- Cardiovascular Disease Physician
- Brooklyn, NY
National Provider Identifier
1386611531
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 217897-1
- Practice address
- 322 Linden Blvd
Brooklyn, NY 11226 - Phone
- (718) 282-0801
- Fax
- (718) 282-8284
- NPI assigned
- Mar 7, 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 217897 | NY | |
| Cardiovascular Disease Physician | 207RC0000X | 217897-1 | NY | Primary |
| Interventional Cardiology Physician | 207RI0011X | 217897 | NY |
Addresses
Primary practice location
322 Linden Blvd
Brooklyn, NY 11226
Mailing address
826 Albany Ave
Brooklyn, NY 11203-3002
Phone (718) 282-0801
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02801178 | Medicaid | NY | |
| 3810004192 | Medicaid | WV |
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
- Cardiovascular Disease (Cardiology)
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
826 Albany Ave
Brooklyn, NY 11203-3002
Phone (917) 407-7898
Hospital & facility affiliations
- Kings County Hospital Center
- Suny/Downstate University Hospital of Brooklyn
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 217897 | NY | MD | Internal Medicine Physician |
| 217897-1 | NY | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sabu John & Mary Mallappallil Physician P.C | Internal Medicine | Current | Accepting new patients |
| University Physicians of Brooklyn, Inc | Past | Accepting new patients | |
| Ernest Afflu Physician PC | Cardiovascular Disease | Past | Accepting new patients |
Locations
322 Linden Blvd
Brooklyn, NY 11226
Phone (718) 230-7788
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
Interoperability endpoints
- saj9076@direct.nyp.org
- https://api.platform.athenahealth.com/9769/brand/1/csg/1/fhir/r4
- sabu.john.1@9769.direct.athenahealth.com
Organizations & group practices 3
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.
-
- Cardiovascular Disease Physician
- Brooklyn, NY
- NPI 1821312083
Internal Medicine
-
- Cardiovascular Disease Physician
- Brooklyn, NY
- NPI 1477574259
-
- Anesthesiology Physician
- Brooklyn, NY
- NPI 1104878180
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1043224355
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1639179328
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141689600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1492732800000",
"number": "1386611531",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "826 ALBANY AVE",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112033002",
"telephone_number": "718-282-0801",
"fax_number": "718-282-8284"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "322 LINDEN BLVD",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "11226",
"telephone_number": "718-282-0801",
"fax_number": "718-282-8284"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHN",
"first_name": "SABU",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-07",
"last_updated": "2017-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "217897",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NY",
"license": "217897-1",
"primary": true
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "NY",
"license": "217897",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02801178",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3810004192",
"state": "WV"
}
],
"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 Apr 21, 2017; 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.