Individual provider Active NPI

Leelavathi Kasturi, MD

  • Gastroenterology Physician
  • Brooklyn, NY
National Provider Identifier
1497847420
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
182286 Issued in NY
Practice address
126 Greenpoint Ave
Brooklyn, NY 11222-2202
Phone
(718) 389-0100
NPI assigned
Sep 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 182286 NY Primary

Addresses

Primary practice location

126 Greenpoint Ave
Brooklyn, NY 11222-2202

Mailing address

6945 108TH St
Apt. 4H
Forest Hills, NY 11375-3850

Other identifiers 1

IdentifierTypeStateIssuer
01842093MedicaidNY

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
I20150203000005 NY Order and Referring Only - GastroenterologyPractitioner - Gastroenterology 2668364233

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesiology Associates of Boro Park, LLP CurrentSince Jul 12, 2016 Accepting new patients
New York City Health and Hospitals Corporation Past Accepting new patients

Locations

19701 Hillside Ave
Hollis, NY 11423
Phone (718) 896-2710

Networks

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

Interoperability endpoints

  • Direct secure messaging: leelavathi.kasturi@leelakasturimdpc.ehi.direct-ci.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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497847420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6945 108TH ST",
            "address_2": "APT. 4H",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113753850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "126 GREENPOINT AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112222202",
            "telephone_number": "718-389-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KASTURI",
        "first_name": "LEELAVATHI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "182286",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01842093",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.