Individual provider Active NPI

Himabindu Ekanadham, M.D.

  • Family Medicine Physician
  • Bronx, NY
National Provider Identifier
1437582988
Registry record updated Aug 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
270667 Issued in NY
Practice address
3448 Boston Rd
Bronx, NY 10469-2512
Phone
(718) 547-6111
NPI assigned
Aug 19, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 270667 NY Primary

Addresses

Primary practice location

3448 Boston Rd
Bronx, NY 10469-2512

Mailing address

3544 Jerome Ave
Bronx, NY 10467-1005
Phone (914) 621-6048

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
I20140113000956 NY Practitioner - Family Practice 0941438220 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Georgetown University School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trustees of Columbia University in the City of New YorkGroup PAC ID 8527972546, shared by 10 NPIs, 2,262 clinicians

Practice addresses (Care Compare)

622 W 168TH St
New York, NY 10032-3720
Phone (212) 305-9876

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
85.32
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
270667NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Trustees of Columbia University in the City of New York Family Medicine CurrentSince Jul 1, 2014 Accepting new patients
Montefiore Medical Center CurrentSince Jul 1, 2013 Accepting new patients
Trustees of Columbia University in the City of New York CurrentSince Jul 1, 2014 Accepting new patients
Trustees of Columbia University in the City of New York CurrentSince Oct 21, 2019 Accepting new patients
Montefiore Medical Center CurrentSince Jul 1, 2013 Accepting new patients
The New York and Presbyterian Hospital Past Accepting new patients

Locations

111 E 210th St
Bronx, NY 10467

3448 Boston Rd
Bronx, NY 10469
Phone (718) 547-6111

3544 Jerome Ave
Bronx, NY 10467
Phone (718) 920-2007

622 W 168th St
New York, NY 10032
Phone (212) 305-4931

161 Fort Washington Ave
New York, NY 10032
Phone (212) 305-8559

610 W 158th St
New York, NY 10032
Phone (212) 544-1860

Networks

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

Interoperability endpoints

  • Direct secure messaging: hie9002@direct.nyp.org
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1376870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376870400000",
    "number": "1437582988",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3544 JEROME AVE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104671005",
            "telephone_number": "914-621-6048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3448 BOSTON RD",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104692512",
            "telephone_number": "718-547-6111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EKANADHAM",
        "first_name": "HIMABINDU",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-19",
        "last_updated": "2013-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "270667",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.