Active NPI
Pankaj Khullar, MD
- Cardiovascular Disease Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 285526
- Practice address
- 1111 Amsterdam Ave
New York, NY 10025-1716 - Phone
- (212) 523-2400
- NPI assigned
- Aug 22, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Interventional Cardiology Physician | 207RI0011X | 285526 | NY | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Cardiovascular Disease Physician | 207RC0000X | 285526 | NY | Primary |
Addresses
Primary practice location
1111 Amsterdam Ave
New York, NY 10025-1716
Mailing address
8718 Bay Pkwy FL 1-2
Brooklyn, NY 11214-5272
Phone (718) 266-0900
Other practice location 1
111 E 210th St
Bronx, NY 10467-2401
Phone (718) 920-4321
Other practice location 2
1111 Amsterdam Ave # Areah
New York, NY 10025-1716
Phone (212) 523-2400
Other practice location 3
1000 10th Ave
New York, NY 10019-1147
Phone (212) 523-2400
Other practice location 4
8718 Bay Pkwy Fl 1-2
Brooklyn, NY 11214-5272
Phone (718) 266-0900
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1110 Pennsylvania Ave
Suite 7And8
Brooklyn, NY 11207-9003
Phone (718) 257-0900
120 Wall St
Suite 175
New York, NY 10005-3904
Phone (718) 266-0900
150 55TH St
Brooklyn, NY 11220-2508
Phone (718) 266-0900
232 Sherman Ave
New York, NY 10034-2503
Phone (718) 266-0900
353 Ocean Ave
Brooklyn, NY 11226-1326
Phone (718) 940-2100
44 Sherman Ave
New York, NY 10040-1104
Phone (212) 781-1057
55 Palmer Ave
Bronxville, NY 10708-3403
Phone (914) 768-3354
8718 Bay Pkwy
FL 1 2
Brooklyn, NY 11214-5272
Phone (718) 226-0900
Hospital & facility affiliations
- NYU Langone Hospitals
Merit-based Incentive Payment System (MIPS)
- Final score
- 63.27 of 100
- Quality
- 54.94
- Promoting interoperability
- 0
- Improvement activities
- 40
- Cost
- 72.61
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 1-10 |
| Varicose vein removal | 81 |
| Leg revascularization (restoring blood flow) | 211 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 285526 | NY | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| Sorin Medical PC | Cardiovascular Disease | Current | Accepting new patients |
| Icahn School of Medicine at Mount Sinai | Cardiovascular Disease | Current | Accepting new patients |
| Manana Petrov Primary Medical Care, PC | Current | Accepting new patients | |
| Back Kim MD PC Dba Heartvein Nyc | Cardiovascular Disease | Current | Accepting new patients |
| Manana Petrov Primary Medical Care, PC | Past | Accepting new patients |
Locations
55 Meadowlands Pkwy
Secaucus, NJ 07094
Phone (201) 325-6744
8718 Bay Pkwy
Fl 12
Brooklyn, NY 11214
506 6th St
Brooklyn, NY 11215
Phone (718) 780-3279
1110 Pennsylvania Ave
Ste 7
Brooklyn, NY 11207
Phone (718) 498-1111
8718 Bay Pkwy
Ste 1
Brooklyn, NY 11214
150 55th St
Brooklyn, NY 11220
Phone (718) 630-7185
13668 Roosevelt Ave
Unit 2C2D
Flushing, NY 11354
Phone (212) 226-8000
1111 Amsterdam Ave
New York, NY 10025
Phone (212) 523-2309
1000 10th Ave
New York, NY 10019
Phone (212) 523-2369
44 Sherman Ave
New York, NY 10040
Phone (212) 781-1057
131 W 35th St
Fl 7
New York, NY 10001
Phone (212) 475-8252
5 E 98th St
Fl 5
New York, NY 10029
Phone (212) 241-8234
5850 Catalpa Ave
Ste 1
Ridgewood, NY 11385
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
Interoperability endpoints
- pankaj.khullar.1@8181.direct.athenahealth.com
- pkhullar764325@nyumc.direct-ci.com
Organizations & group practices 7
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.
-
- Internal Medicine Physician
- Brooklyn, NY
- NPI 1508017062
-
- Cardiovascular Disease Physician
- Brooklyn, NY
- NPI 1942543053
-
- Cardiovascular Disease Physician
- New York, NY
- NPI 1326368630
-
- Cardiovascular Disease Physician
- New York, NY
- NPI 1487912416
-
- Clinic/Center
- Forest Hills, NY
- NPI 1609342898
-
- Eyewear Supplier
- New York, NY
- NPI 1760227466
-
- Internal Medicine Physician
- Brooklyn, NY
- NPI 1609948140
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rehabilitation Hospital Unit
- New York, NY
- NPI 1275632895
-
- General Acute Care Hospital
- Mineola, NY
- NPI 1427616002
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1619341716
-
- General Acute Care Hospital
- New York, NY
- NPI 1669578324
-
- General Acute Care Hospital
- New York, NY
- NPI 1801992631
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582675200000",
"number": "1497035588",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8718 BAY PKWY FL 1-2",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112145272",
"telephone_number": "718-266-0900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 AMSTERDAM AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100251716",
"telephone_number": "212-523-2400"
}
],
"practiceLocations": [
{
"address_1": "111 E 210th St",
"address_purpose": "LOCATION",
"city": "Bronx",
"state": "NY",
"postal_code": "104672401",
"country_code": "US",
"telephone_number": "718-920-4321",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1111 Amsterdam Ave # Areah",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100251716",
"country_code": "US",
"telephone_number": "212-523-2400",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1000 10th Ave",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100191147",
"country_code": "US",
"telephone_number": "212-523-2400",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8718 Bay Pkwy Fl 1-2",
"address_purpose": "LOCATION",
"city": "Brooklyn",
"state": "NY",
"postal_code": "112145272",
"country_code": "US",
"telephone_number": "718-266-0900",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KHULLAR",
"first_name": "PANKAJ",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-08-22",
"last_updated": "2020-02-26",
"certification_date": "2020-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "NY",
"license": "285526",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NY",
"license": "285526",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2020; 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.