Individual provider Active NPI

Haradaya K Hegde, M,D.

  • Emergency Medical Services (Emergency Medicine) Physician
  • New York, NY
National Provider Identifier
1407894884
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X
License
136042 Issued in NY
Practice address
330 E 33Rd St
Apt#10L
New York, NY 10016-9466
Phone
(212) 889-7861
Fax
(212) 889-7861
NPI assigned
Jun 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X 136042 NY Primary
Therapeutic Radiology Physician 2085R0203X 136042 NY

Addresses

Primary practice location

330 E 33Rd St
Apt#10L
New York, NY 10016-9466

Mailing address

330 E 33Rd St
Apt#10L
New York, NY 10016-9466
Phone (212) 889-7861

Other identifiers 1

IdentifierTypeStateIssuer
H481MedicaidNY

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
I20240514001017 NY Order and Referring Only - Radiation OncologyPractitioner - Radiation Oncology 7911189097

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
136042NYMDEmergency Medical Services (Emergency Medicine) Physician

Networks

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

Interoperability endpoints

  • Direct secure messaging: hhegde1052992@nychhc.direct-ci.com

NPI Registry JSON

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1407894884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 E 33RD ST",
            "address_2": "APT#10L",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100169466",
            "telephone_number": "212-889-7861",
            "fax_number": "212-889-7861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 E 33RD ST",
            "address_2": "APT#10L",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100169466",
            "telephone_number": "212-889-7861",
            "fax_number": "212-889-7861"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEGDE",
        "first_name": "HARADAYA",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M,D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-04",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "NY",
            "license": "136042",
            "primary": true
        },
        {
            "code": "2085R0203X",
            "taxonomy_group": "",
            "desc": "Radiology, Therapeutic Radiology",
            "state": "NY",
            "license": "136042",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "H481",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.