Individual provider Active NPI

Kenneth Karamchand Hansraj, MD

  • Orthopaedic Surgery Physician
  • Poughkeepsie, NY
National Provider Identifier
1609942986
Registry record updated Feb 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
2021110 Issued in NY
Practice address
243 North Road
Suite 202S
Poughkeepsie, NY 12601
Phone
(845) 471-9200
Fax
(845) 471-1551
NPI assigned
Nov 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 2021110 NY Primary

Addresses

Primary practice location

243 North Road
Suite 202S
Poughkeepsie, NY 12601

Mailing address

243 North Road
Suite 202S
Poughkeepsie, NY 12601
Phone (845) 471-9200

Other identifiers 5

IdentifierTypeStateIssuer
01840440MedicaidNY
610325500OtherOWCP DEPT OF LABOR
960523OtherNYMVP
P00234296OtherNYMEDICARE RAILROAD
10047504OtherNYCDPHP

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
I20050420000624 NY Practitioner - Orthopedic Surgery 6204880073 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Drexel University College of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

159 Barnegat Rd
FL 2
Poughkeepsie, NY 12601-5401
Phone (845) 226-4590

243 N Rd
Poughkeepsie, NY 12601-1173

45 Foster Rd
Hopewell JCT, NY 12533-6123
Phone (845) 226-4590

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2021110NYMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Medical Group of the Hudson Valley, P.C. CurrentSince Jun 9, 2024 Accepting new patients
Premier Medical Group of the Hudson Valley P.C. CurrentSince Jun 9, 2024 Accepting new patients
Westchester Medical Center Advanced Physician Services, PC CurrentSince Apr 1, 2022 Accepting new patients
Westchester Medical Center Advanced Physician Services PC CurrentSince Apr 1, 2022 Accepting new patients

Locations

111 Clock Tower Cmns
Brewster, NY 10509
Phone (845) 592-4915

45 Foster Rd
Hopewell Junction, NY 12533
Phone (845) 592-4036

243 North Rd
Ste 304
Poughkeepsie, NY 12601
Phone (845) 451-7251

45 Reade Pl
Fl 2
Poughkeepsie, NY 12601
Phone (845) 483-6001

243 North Rd
Ste 2025
Poughkeepsie, NY 12601
Phone (845) 471-9200

243 North Rd
Ste 202S
Poughkeepsie, NY 12601
Phone (845) 471-9200

159 Barnegat Rd
Fl 2
Poughkeepsie, NY 12601
Phone (845) 452-9800

95 Grasslands Rd
Valhalla, NY 10595
Phone (914) 493-2961

Networks

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

Interoperability endpoints

  • Direct secure messaging: khansraj@hiemail.healtheconnections.org

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707955200000",
    "number": "1609942986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "243 NORTH ROAD",
            "address_2": "SUITE 202S",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "12601",
            "telephone_number": "845-471-9200",
            "fax_number": "845-471-1551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "243 NORTH ROAD",
            "address_2": "SUITE 202S",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "12601",
            "telephone_number": "845-471-9200",
            "fax_number": "845-471-1551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSRAJ",
        "first_name": "KENNETH",
        "middle_name": "KARAMCHAND",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-28",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NY",
            "license": "2021110",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01840440",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OWCP DEPT OF LABOR",
            "identifier": "610325500",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "960523",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00234296",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDPHP",
            "identifier": "10047504",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Poughkeepsie, NY

Sources for this page

Verify at the official NPI Registry.