Individual provider Active NPI

Indira R Kairam, M.D.

  • Gastroenterology Physician
  • New York, NY
National Provider Identifier
1508943242
Registry record updated Jun 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
131920 Issued in NY
Practice address
50 W 97TH St
Suite 1a
New York, NY 10025
Phone
(212) 865-7355
Fax
(212) 865-7447
NPI assigned
Nov 1, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 7, 2018

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 131920 NY Primary

Addresses

Primary practice location

50 W 97TH St
Suite 1a
New York, NY 10025

Mailing address

50 W 97TH St
Suite 1a
New York, NY 10025-6053
Phone (212) 865-7355

Other identifiers 1

IdentifierTypeStateIssuer
00531044MedicaidNY

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
I20100331000989 NY Practitioner - GastroenterologyPractitioner - Internal Medicine 9638205453 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

231 Sherman Ave
New York, NY 10034-2502
Phone (212) 569-2035

50 W 97TH St
Apt 1a
New York, NY 10025-6004
Phone (212) 865-7355

619 W 54TH St
FL 8
New York, NY 10019-3545
Phone (212) 889-3142

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy31
Upper gastrointestinal (GI) endoscopy for acid reflux13

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Indira Kairam, MD P.C. Gastroenterology CurrentSince Jan 13, 2010 Accepting new patients
Jennifer Fung-Schwartz, DPM, LLC PastSince Jun 28, 2001 Accepting new patients
St. Vincent'S Midtown Hospital Past Accepting new patients

Locations

945 W End Ave
Apt 1D
New York, NY 10025
Phone (212) 316-3276

50 W 97th St
Apt 1A
New York, NY 10025
Phone (212) 678-2333

619 W 54th St
Fl 8
New York, NY 10019
Phone (212) 889-3142

Networks

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

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CDCFAA/Endpoint/CDCFAA

Organizations & group practices 3

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": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528329600000",
    "number": "1508943242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 W 97TH ST",
            "address_2": "SUITE 1A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100256053",
            "telephone_number": "212-865-7355",
            "fax_number": "212-865-7447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 W 97TH ST",
            "address_2": "SUITE 1A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10025",
            "telephone_number": "212-865-7355",
            "fax_number": "212-865-7447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAIRAM",
        "first_name": "INDIRA",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2018-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "131920",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00531044",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.