Individual provider Active NPI

Akella Chendrasekhar, M.D.

  • Trauma Surgery Physician
  • Brooklyn, NY
National Provider Identifier
1396768768
Registry record updated Nov 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Trauma Surgery PhysicianTaxonomy code 2086S0127X
License
192035 Issued in NY
Practice address
145 St.Nicholas Ave
Brooklyn, NY 11237
Phone
(718) 418-5900
Fax
(718) 418-4368
NPI assigned
Jul 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 192035 NY
Surgical Critical Care Physician 2086S0102X 192035 NY
Trauma Surgery Physician 2086S0127X 192035 NY Primary

Addresses

Primary practice location

145 St.Nicholas Ave
Brooklyn, NY 11237

Mailing address

145 St.Nicholas Ave
Brooklyn, NY 11237
Phone (718) 418-5900

Other identifiers 1

IdentifierTypeStateIssuer
0141143MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20050419001499 NY Practitioner - Critical Care (Intensivists) 3173597960 Reassigns benefits to 2 organizations
I20250812004594 NJ Practitioner - Critical Care (Intensivists)Practitioner - Geriatric Medicine 3173597960 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)
Education
University of Miami, LM Miller School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medassist NJ IIGroup PAC ID 1557717428, 23 clinicians

Practice addresses (Care Compare)

Spring Valley, NY 10977
Phone (845) 377-6670

419 E County Line Rd
Lakewood, NJ 08701-1426
Phone (845) 377-6670

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medassist NJ II CurrentSince May 27, 2025 Accepting new patients
Medequipped LLC CurrentSince May 27, 2025 Accepting new patients
Amboy Medical Practice PC CurrentSince Jan 3, 2013 Accepting new patients
Amboy Medical Practice PC Surgery CurrentSince Jan 3, 2013 Accepting new patients
Downtown Bronx Medical Associates PC Past Accepting new patients
Wyckoff Medical Services, P C Past Accepting new patients

Locations

419 E County Line Rd
Lakewood, NJ 08701
Phone (845) 377-6670

747 Chestnut Ridge Rd
Ste 205
Spring Valley, NY 10977
Phone (845) 237-2381

747 Chestnut Ridge Rd
Ste 206
Spring Valley, NY 10977
Phone (845) 377-6670

4434 Amboy Rd
Staten Island, NY 10312
Phone (718) 818-1015

Networks

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

Organizations & group practices 6

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447977600000",
    "number": "1396768768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 ST.NICHOLAS AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11237",
            "telephone_number": "718-418-5900",
            "fax_number": "718-418-4368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 ST.NICHOLAS AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11237",
            "telephone_number": "718-418-5900",
            "fax_number": "718-418-4368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHENDRASEKHAR",
        "first_name": "AKELLA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2015-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "192035",
            "primary": false
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "NY",
            "license": "192035",
            "primary": false
        },
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "NY",
            "license": "192035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0141143",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.