Active NPI
Gautam V Shrikhande, M.D.
- Vascular Surgery Physician
- Flushing, NY
National Provider Identifier
1427016088
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- 249153
- Practice address
- 5645 Main St
W-Ll300
Flushing, NY 11355-5045 - Phone
- (718) 303-6100
- Fax
- (718) 939-1167
- NPI assigned
- May 3, 2006
- Last updated
- Nov 4, 2014
- 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 |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | 249153 | NY | Primary |
Addresses
Primary practice location
5645 Main St
W-Ll300
Flushing, NY 11355-5045
Mailing address
5645 Main St
W-Ll300
Flushing, NY 11355-5045
Phone (718) 303-6100
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trustees of Columbia University in the City of Ny | Past | Accepting new patients | |
| Center for Vein Restoration CT LLC | Vascular Surgery | Past | Accepting new patients |
Interoperability endpoints
- gautam.shrikhande.p5@direct.cvr.nextgenshare.com
- gautam.shrikhandemd.p3@direct.cvr.nextgenshare.com
Organizations & group practices 2
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.
-
- Specialist
- New York, NY
- NPI 1225409444
-
- Vascular Surgery Physician
- Stamford, CT
- NPI 1306282926
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1415059200000",
"number": "1427016088",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5645 MAIN ST",
"address_2": "W-LL300",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113555045",
"telephone_number": "718-303-6100",
"fax_number": "718-939-1167"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5645 MAIN ST",
"address_2": "W-LL300",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113555045",
"telephone_number": "718-303-6100",
"fax_number": "718-939-1167"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHRIKHANDE",
"first_name": "GAUTAM",
"middle_name": "V",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-03",
"last_updated": "2014-11-04",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "NY",
"license": "249153",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Flushing, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2014; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.