Organization Active NPI

Interboro Heart & Vascular PLLC

  • Cardiovascular Disease Physician
  • Bronx, NY
National Provider Identifier
1609381458
Registry record updated Apr 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
Legal business name
INTERBORO HEART & VASCULAR PLLC
Practice address
2825 3Rd Ave Ste 201
Bronx, NY 10455-4066
Phone
(718) 887-7171
Fax
(929) 990-2928
NPI assigned
Dec 1, 2017
Last updated
Apr 27, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2026

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

Authorized official

Name
Dr. Srinivas Kesanakurthy, MDNPI 1770558397
Title
President
Phone
(718) 887-7171

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU
Cardiovascular Disease Physician 207RC0000X NU Primary

Addresses

Primary practice location

2825 3Rd Ave Ste 201
Bronx, NY 10455-4066

Mailing address

2825 3Rd Ave Ste 201
Bronx, NY 10455-4066
Phone (718) 887-7171

Other practice location 1

12508 Liberty Ave
South Richmond Hill, NY 11419-2234
Phone (718) 581-8093

Other practice location 2

303 Beverley Rd Ste Br3
Brooklyn, NY 11218-3151
Phone (718) 887-7171

Other practice location 3

44 Sherman Ave
New York, NY 10040-1104
Phone (718) 887-7171

Other identifiers 1

IdentifierTypeStateIssuer
1770558397OtherNPPES

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180221000852 NY Part B Supplier - Clinic/Group Practice 7810258555 Receives reassigned benefits from 2 practitioners
Practice locations: New York, NY; South Richmond Hill, NY; Franklin Square, NY; Bronx, NY; Brooklyn, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2337302Interboro Heart & Vascular PLLC2825 3Rd Ave Suite 201, Bronx, NY 10455RegistrationJan 20, 2028

National Provider Directory

National Provider Directory

Locations

4802 25th Ave
Ste 110
Astoria, NY 11103

9173 111th St
Richmond Hill, NY 11418
Phone (718) 441-1373

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1512086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777248000000",
    "number": "1609381458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2825 3RD AVE STE 201",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104554066",
            "telephone_number": "718-887-7171",
            "fax_number": "929-990-2928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2825 3RD AVE STE 201",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104554066",
            "telephone_number": "718-887-7171",
            "fax_number": "929-990-2928"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12508 Liberty Ave",
            "address_purpose": "LOCATION",
            "city": "South Richmond Hill",
            "state": "NY",
            "postal_code": "114192234",
            "country_code": "US",
            "telephone_number": "718-581-8093",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "303 Beverley Rd Ste Br3",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112183151",
            "country_code": "US",
            "telephone_number": "718-887-7171",
            "fax_number": "929-990-2928",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "44 Sherman Ave",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100401104",
            "country_code": "US",
            "telephone_number": "718-887-7171",
            "fax_number": "929-990-2928",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "INTERBORO HEART & VASCULAR PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-01",
        "last_updated": "2026-04-27",
        "certification_date": "2026-04-27",
        "status": "A",
        "authorized_official_last_name": "KESANAKURTHY",
        "authorized_official_first_name": "SRINIVAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-887-7171",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1770558397",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.