Individual provider Active NPI

Nikhil Jayant Nadkarni, M.D.

  • Psychiatry Physician
  • Los Angeles, CA
National Provider Identifier
1528421328
Registry record updated May 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A155916 Issued in CA
Practice address
760 Westwood PLZ # 17-413
Los Angeles, CA 90095
Phone
(310) 794-2079
Fax
(504) 500-9252
NPI assigned
Mar 30, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X CA
Psychiatry Physician 2084P0800X A155916 CA Primary

Addresses

Primary practice location

760 Westwood PLZ # 17-413
Los Angeles, CA 90095

Mailing address

760 Westwood PLZ # 17-413
Los Angeles, CA 90095-8358
Phone (310) 794-2079

Other practice location 1

757 Westwood Plz
Los Angeles, CA 90095-8358
Phone (310) 267-7415

Other identifiers 1

IdentifierTypeStateIssuer
A155916OtherCACALIFORNIA MEDICAL BOARD LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250123000097 NY Practitioner - Psychiatry 1456604305

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A155916CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Osier Health PC Psychiatry CurrentSince Oct 18, 2024 Accepting new patients
Willow Health, Inc Past Accepting new patients

Locations

1130 Bedford Ave
#1061
Brooklyn, NY 11216
Phone (844) 488-3223

169 Madison Ave
#15906
New York, NY 10016
Phone (646) 814-1530

169 Madison Ave
Ste 15906
New York, NY 10016

Interoperability endpoints

  • Direct secure messaging: nikhil.nadkarni@549960591081476.direct.elationemr.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": "1459296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559088000000",
    "number": "1528421328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "760 WESTWOOD PLZ # 17-413",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900958358",
            "telephone_number": "310-794-2079",
            "fax_number": "504-500-9252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "760 WESTWOOD PLZ # 17-413",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "90095",
            "telephone_number": "310-794-2079",
            "fax_number": "504-500-9252"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "757 Westwood Plz",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900958358",
            "country_code": "US",
            "telephone_number": "310-267-7415",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NADKARNI",
        "first_name": "NIKHIL",
        "middle_name": "JAYANT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-30",
        "last_updated": "2019-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A155916",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA MEDICAL BOARD LICENSE",
            "identifier": "A155916",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.