Individual provider Active NPI

Pratap Chandra Das, MD

  • Family Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1508133539
Registry record updated Sep 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
280433 Issued in NY
Practice address
95 Wyckoff Avenue
Suite 1001
Brooklyn, NY 11237-2927
Phone
(718) 821-6285
Fax
(347) 295-3675
NPI assigned
Nov 18, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) Physician 207QG0300X 280433 NY
Family Medicine Physician 207Q00000X 280433 NY Primary

Addresses

Primary practice location

95 Wyckoff Avenue
Suite 1001
Brooklyn, NY 11237-2927

Mailing address

95 Wyckoff Avenue
Suite 1001
Brooklyn, NY 11237-2927
Phone (718) 821-6285

Other identifiers 2

IdentifierTypeStateIssuer
180221000189OtherNYFIDELIS
04231274MedicaidNY

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
I20160108002128 NY Practitioner - Family PracticePractitioner - Geriatric Medicine 5698077576 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New York Comprehensive Cardiology PLLCGroup PAC ID 8527088715, 2 clinicians

Practice addresses (Care Compare)

59 Wyckoff Ave
Suite 1001
Brooklyn, NY 11237-2927

95 Wyckoff Ave
Brooklyn, NY 11237-2927
Phone (718) 821-6285

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
280433NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New York Comprehensive Cardiology PLLC CurrentSince Jan 21, 2018 Accepting new patients

Locations

95 Wyckoff Ave
Brooklyn, NY 11237
Phone (718) 486-4276

95 Wyckoff Ave
Ste 1001
Brooklyn, NY 11237
Phone (718) 821-6285

7915 Metropolitan Ave
Middle Vlg, NY 11379
Phone (516) 806-2544

Organizations & group practices 1

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 1

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": "1321574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693526400000",
    "number": "1508133539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 WYCKOFF AVENUE",
            "address_2": "SUITE 1001",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112372927",
            "telephone_number": "718-821-6285",
            "fax_number": "347-295-3675"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 WYCKOFF AVENUE",
            "address_2": "SUITE 1001",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112372927",
            "telephone_number": "718-821-6285",
            "fax_number": "347-295-3675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAS",
        "first_name": "PRATAP",
        "middle_name": "CHANDRA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-11-18",
        "last_updated": "2023-09-01",
        "certification_date": "2021-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "NY",
            "license": "280433",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "280433",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIDELIS",
            "identifier": "180221000189",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04231274",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.