K Iswara PC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

115155 Issued in NY

Legal business name

K ISWARA PC

Practice address

6010 Baypark Way
Suite 801
Brooklyn, NY 11204-2567

Phone

(718) 615-0400

Fax

(718) 615-0874

NPI assigned

Jun 19, 2008

Last updated

Apr 12, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kadirawelpillai Iswara, MDNPI 1265506828

Title

Physician

Phone

(718) 615-0400

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kadirawelpillai Iswara, MD

  • Gastroenterology Physician
  • Brooklyn, NY
  • NPI 1265506828
  Medicare reassignment Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1213833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460419200000",
    "number": "1548421845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6010 BAYPARK WAY",
            "address_2": "SUITE 801",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112042567",
            "telephone_number": "718-615-0400",
            "fax_number": "718-615-0874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6010 BAYPARK WAY",
            "address_2": "SUITE 801",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112042567",
            "telephone_number": "718-615-0400",
            "fax_number": "718-615-0874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K ISWARA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-19",
        "last_updated": "2016-04-12",
        "status": "A",
        "authorized_official_last_name": "ISWARA",
        "authorized_official_first_name": "KADIRAWELPILLAI",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "718-615-0400",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "115155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Gastroenterology Physician in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Gastroenterology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.