Dilshad Fakhruddin, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

210936 Issued in NY

Practice address

1081 Gates Ave
Brooklyn, NY 11221-4303

Phone

(718) 443-7007

Fax

(718) 443-7005

NPI assigned

Feb 8, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Internal Medicine

Education

Other, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

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

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.

• Dilshad Fakhruddin Medical PC

  • Internal Medicine Physician
  • Brooklyn, NY
  • NPI 1629210158
  Medicare reassignment NPD Authorized official
• M & D Medical , PC

  • Specialist
  • Brooklyn, NY
  • NPI 1710113220
  Medicare reassignment NPD
• Babu M Joseph MD PC

  • Internal Medicine Physician
  • Jamaica, NY
  • NPI 1831243369
  NPD (past)

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216944000000",
    "number": "1407997174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 64TH ST",
            "address_2": "APT 10A",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112204900",
            "telephone_number": "646-420-8110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1081 GATES AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112214303",
            "telephone_number": "718-443-7007",
            "fax_number": "718-443-7005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAKHRUDDIN",
        "first_name": "DILSHAD",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-08",
        "last_updated": "2008-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "210936",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "210936",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Helga Fakheri, OTR/L
• Rachel Fakheri
• Roya Fakheri
• Yair Fakheri, DO
• Ilana Fakherian, P.T.
• Adam Saeed Fakir, DOCTORATE
• Anna Faktorovich
• Lyubov Faktorovich, RN
• Vera Faktorovich, PHARM.D
• Jennifer Joy Falack

• Internal Medicine Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2008; 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.

Verify at the official NPI Registry.