Individual provider Active NPI

Akifa Samdani, M.D

  • Sports Medicine (Internal Medicine) Physician
  • New York, NY
National Provider Identifier
1669410585
Registry record updated Dec 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0010X
License
204310 Issued in NY
Practice address
120 E 86TH St
Second Floor
New York, NY 10028-1062
Phone
(212) 427-2000
Fax
(212) 427-2008
NPI assigned
Jun 3, 2006
Last updated
Dec 20, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Internal Medicine) Physician 207RS0010X 204310 NY Primary

Addresses

Primary practice location

120 E 86TH St
Second Floor
New York, NY 10028-1062

Mailing address

120 E 86TH St
Second Floor
New York, NY 10028-1062
Phone (212) 427-2000

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
I20040811001152 NY Practitioner - Physical Medicine and Rehabilitation 0547232340 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
State University of New York Downstate Medical Center, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Charles Saha MD PCGroup PAC ID 6204228380, 2 clinicians

Practice addresses (Care Compare)

120 E 86TH St
Suite MCS
New York, NY 10028-1062
Phone (212) 427-3305

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
204310NYMDSports Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Akifa Samdani, MD PC Current Accepting new patients
Charles Saha MD PC CurrentSince Jul 1, 2022 Accepting new patients

Locations

120 E 86th St
Fl 2
New York, NY 10028
Phone (212) 427-2000

Interoperability endpoints

  • Direct secure messaging: drsamdani@pamp.direct.medicscloud.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387497600000",
    "number": "1669410585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 E 86TH ST",
            "address_2": "SECOND FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100281062",
            "telephone_number": "212-427-2000",
            "fax_number": "212-427-2008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 E 86TH ST",
            "address_2": "SECOND FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100281062",
            "telephone_number": "212-427-2000",
            "fax_number": "212-427-2008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMDANI",
        "first_name": "AKIFA",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-03",
        "last_updated": "2013-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RS0010X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sports Medicine",
            "state": "NY",
            "license": "204310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.