Individual provider Active NPI

Anil Maheshwari, M.D.

  • Internal Medicine Physician
  • Massapequa, NY
National Provider Identifier
1548299746
Registry record updated Dec 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
211813 Issued in NY
Practice address
4625 Merrick Rd
Massapequa, NY 11758-6010
Phone
(516) 798-1116
Fax
(516) 798-8530
NPI assigned
Jul 1, 2006
Last updated
Dec 7, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 211813 NY Primary

Addresses

Primary practice location

4625 Merrick Rd
Massapequa, NY 11758-6010

Mailing address

PO Box 9461
Uniondale, NY 11555-9461
Phone (516) 798-1116

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
I20110222001174 NY Practitioner - Internal Medicine 3678754751 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Island Primary Medical Care Associates PCGroup PAC ID 3173412418, 5 clinicians

Practice addresses (Care Compare)

28 S Carll Ave
Babylon, NY 11702-3427
Phone (631) 661-3245

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
211813NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Island Primary Medical Care Associates PC Internal Medicine CurrentSince Jan 1, 1994 Accepting new patients
Thomas W Hodyl, MD PC PastSince Jan 1, 1994 Accepting new patients
Good Samaritan Hospital Medical Center Past Accepting new patients
Plus Group Homes, Inc Past Accepting new patients

Locations

4625 Merrick Rd
Massapequa, NY 11758
Phone (516) 798-1116

3541 Jerusalem Ave
Wantagh, NY 11793
Phone (516) 763-3000

Networks

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

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1151712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291680000000",
    "number": "1548299746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9461",
            "city": "UNIONDALE",
            "state": "NY",
            "postal_code": "115559461",
            "telephone_number": "516-798-1116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4625 MERRICK RD",
            "city": "MASSAPEQUA",
            "state": "NY",
            "postal_code": "117586010",
            "telephone_number": "516-798-1116",
            "fax_number": "516-798-8530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHESHWARI",
        "first_name": "ANIL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-01",
        "last_updated": "2010-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "211813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Massapequa, NY

Sources for this page

Verify at the official NPI Registry.