Individual provider Active NPI

Jaikirshan J Khatri, MD

  • Interventional Cardiology Physician
  • New York, NY
National Provider Identifier
1528037165
Registry record updated Nov 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
332353 Issued in NY
Practice address
520 E 70TH St # 443
New York, NY 10021-9800
Phone
(646) 962-5500
Fax
(212) 746-8295
NPI assigned
Mar 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X 332353 NY Primary

Addresses

Primary practice location

520 E 70TH St # 443
New York, NY 10021-9800

Mailing address

520 E 70TH St # 443
New York, NY 10021-9800
Phone (646) 962-5500

Other practice location 1

1305 York Ave Fl 8
New York, NY 10021-5663
Phone (646) 962-5500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20060807000004 OH Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 9830192152 Reassigns benefits to 1 organization
I20241217000582 NY Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 9830192152 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Northeastern Ohio University College of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Weill Medical College of CornellGroup PAC ID 6800709023, 2,023 clinicians

Practice addresses (Care Compare)

1305 York Ave
FL 8
New York, NY 10021-5663
Phone (646) 962-5558

Hospital & facility affiliations

  • New York-Presbyterian Hospital Hospital, New York, NY, CCN 330101

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting91

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
332353NYMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Weill Medical College of Cornell Cardiovascular Disease CurrentSince Nov 1, 2024 Accepting new patients
Cardiovascular Medicine Associates, Inc. Cardiovascular Disease CurrentSince Aug 1, 2006 Accepting new patients
Weill Medical College of Cornell Cardiovascular Disease CurrentSince Nov 1, 2024 Accepting new patients
Cornell University Medical College Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

520 E 70th St
New York, NY 10021
Phone (212) 746-0838

1305 York Ave
Fl 8
New York, NY 10021
Phone (646) 962-3176

520 E 70th St
#443
New York, NY 10021
Phone (646) 962-2150

520 E 70th St
#4
New York, NY 10021
Phone (212) 746-2150

525 E 68th St
New York, NY 10065
Phone (212) 746-2846

18697 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 816-8000

7255 Old Oak Blvd
Ste C208
Middleburg Heights, OH 44130
Phone (216) 826-2708

Networks

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

Interoperability endpoints

  • Direct secure messaging: jkhatri@direct.swgeneral.com

Organizations & group practices 5

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 5

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": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732147200000",
    "number": "1528037165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 E 70TH ST # 443",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100219800",
            "telephone_number": "646-962-5500",
            "fax_number": "212-746-8295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 E 70TH ST # 443",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100219800",
            "telephone_number": "646-962-5500",
            "fax_number": "212-746-8295"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1305 York Ave Fl 8",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100215663",
            "country_code": "US",
            "telephone_number": "646-962-5500",
            "fax_number": "646-962-0050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHATRI",
        "first_name": "JAIKIRSHAN",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-16",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NY",
            "license": "332353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.