Individual provider Active NPI

Pankhuree Vandana, MD

  • Child & Adolescent Psychiatry Physician
  • White Plains, NY
National Provider Identifier
1568679504
Registry record updated Sep 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
319075 Issued in NY
Practice address
21 Bloomingdale Rd
White Plains, NY 10605-1504
Phone
(914) 997-5848
NPI assigned
May 17, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Child & Adolescent Psychiatry Physician 2084P0804X 35.124491 OH
Child & Adolescent Psychiatry Physician 2084P0804X 319075 NY Primary

Addresses

Primary practice location

21 Bloomingdale Rd
White Plains, NY 10605-1504

Mailing address

6 Lewiston CT
Briarcliff Manor, NY 10510-2536
Phone (646) 774-5000

Other practice location 1

Center for Autism and Developing Brain
21 Bloomingdale Road
White Plains, NY 10605
Phone (914) 997-5848

Other practice location 2

444 Butterfly Gardens Dr
Columbus, OH 43215-3427
Phone (614) 355-8080

Other practice location 3

700 Childrens Dr
Columbus, OH 43205-2664
Phone (614) 355-8080

Other practice location 4

495 E Main St
Columbus, OH 43215-5349
Phone (614) 355-8550

Other practice location 5

500 E Main St
Columbus, OH 43215-5369
Phone (614) 355-6300

Other practice location 6

380 Butterfly Gardens Dr
Columbus, OH 43215-7508
Phone (614) 355-8005

Other practice location 7

185 W Schrock Rd
Westerville, OH 43081-2890
Phone (614) 355-7505

Other identifiers 2

IdentifierTypeStateIssuer
0112635MedicaidOH
2846675MedicaidOH

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
I20221230000489 NY Practitioner - Psychiatry 2860634532 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Weill Medical College of Cornell CurrentSince Nov 11, 2024 Accepting new patients
Trustees of Columbia University in the City of New York Psychiatry Current Accepting new patients
The New York and Presbyterian Hospital CurrentSince May 21, 2023 Accepting new patients
Trustees of Columbia University in the City of New York CurrentSince Sep 15, 2022 Accepting new patients
The New York and Presbyterian Hospital CurrentSince May 21, 2023 Accepting new patients
Weill Medical College of Cornell CurrentSince Nov 11, 2024 Accepting new patients
Trustees of Columbia University in the City of New York CurrentSince Sep 15, 2022 Accepting new patients
Nationwide Children'S Hospital Past Accepting new patients

Locations

622 W 168th St
New York, NY 10032
Phone (212) 305-4931

161 Fort Washington Ave
New York, NY 10032
Phone (212) 305-8559

156 William St
New York, NY 10038
Phone (646) 962-4679

21 Bloomingdale Rd
#159
White Plains, NY 10605
Phone (914) 682-9100

21 Bloomingdale Rd
White Plains, NY 10605
Phone (914) 682-9100

Networks

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

Interoperability endpoints

  • Direct secure messaging: yxv9001@direct.nyp.org
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Organizations & group practices 8

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": "1179360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663632000000",
    "number": "1568679504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 LEWISTON CT",
            "city": "BRIARCLIFF MANOR",
            "state": "NY",
            "postal_code": "105102536",
            "telephone_number": "646-774-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 BLOOMINGDALE RD",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106051504",
            "telephone_number": "914-997-5848"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Center for Autism and Developing Brain",
            "address_2": "21 Bloomingdale Road",
            "address_purpose": "LOCATION",
            "city": "White Plains",
            "state": "NY",
            "postal_code": "10605",
            "country_code": "US",
            "telephone_number": "914-997-5848",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "444 Butterfly Gardens Dr",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432153427",
            "country_code": "US",
            "telephone_number": "614-355-8080",
            "fax_number": "614-938-0170",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "700 Childrens Dr",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432052664",
            "country_code": "US",
            "telephone_number": "614-355-8080",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "495 E Main St",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432155349",
            "country_code": "US",
            "telephone_number": "614-355-8550",
            "fax_number": "614-355-8539",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "500 E Main St",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432155369",
            "country_code": "US",
            "telephone_number": "614-355-6300",
            "fax_number": "614-355-6310",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "380 Butterfly Gardens Dr",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432157508",
            "country_code": "US",
            "telephone_number": "614-355-8005",
            "fax_number": "614-355-7855",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "185 W Schrock Rd",
            "address_purpose": "LOCATION",
            "city": "Westerville",
            "state": "OH",
            "postal_code": "430812890",
            "country_code": "US",
            "telephone_number": "614-355-7505",
            "fax_number": "614-355-7545",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANDANA",
        "first_name": "PANKHUREE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-17",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "OH",
            "license": "35.124491",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NY",
            "license": "319075",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0112635",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2846675",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in White Plains, NY

Sources for this page

Verify at the official NPI Registry.