Active NPI
Dilara Khandaker, MD
- Family Medicine Physician
- Valatie, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 192931
- Practice address
- 346 McCagg Rd
Valatie, NY 12184-5808 - Phone
- (518) 669-2621
- NPI assigned
- Sep 7, 2006
- Last updated
- Jul 11, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 192931 | NY | Primary |
| Hospitalist Physician | 208M00000X | 036144914 | IL |
Addresses
Primary practice location
346 McCagg Rd
Valatie, NY 12184-5808
Mailing address
346 McCagg Rd
Valatie, NY 12184-5808
Phone (518) 669-2621
Other practice location 1
267 Fairview Ave
Hudson, NY 12534
Phone (518) 828-4062
Other practice location 2
3880 Salem Lake Dr Ste F
Long Grove, IL 60047
Phone (847) 719-2220 ext. 222
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036144914 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036144914 | IL | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Best Practices Inpatient Care, LTD. | Hospitalist | Current | Accepting new patients |
| Best Practices Inpatient Care,LTD | Current | Accepting new patients | |
| St. Peter's Hospital of the City of Albany | Family Medicine | Current | Accepting new patients |
| Best Practices Inpatient Care, LTD. | Hospitalist | Current | Accepting new patients |
| Fairview Family Practice, P.C. | Family Medicine | Past | Accepting new patients |
Locations
800 W Central Rd
Arlington Hts, IL 60005
Phone (847) 618-6150
106 Barrington Commons Ct
Unit 1790
Barrington, IL 60011
Phone (847) 719-2220
3880 Salem Lake Dr
Ste F
Long Grove, IL 60047
Phone (847) 719-2220
450 W State Route 22
South Barrington, IL 60010
Phone (847) 381-0123
315 S Manning Blvd
Albany, NY 12208
Phone (518) 525-1852
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- Barrington, IL
- NPI 1619913522
Hospitalist
-
- Family Medicine Physician
- Hudson, NY
- NPI 1124241351
-
dba St. Peter's Hospital
- General Acute Care Hospital
- Albany, NY
- NPI 1518042357
Family Medicine
-
- Internal Medicine Physician
- Barrington, IL
- NPI 1073549713
Hospitalist
-
- Internal Medicine Physician
- Wyoming, MI
- NPI 1417240946
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689033600000",
"number": "1770686248",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "346 MCCAGG RD",
"city": "VALATIE",
"state": "NY",
"postal_code": "121845808",
"telephone_number": "518-669-2621"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "346 MCCAGG RD",
"city": "VALATIE",
"state": "NY",
"postal_code": "121845808",
"telephone_number": "518-669-2621"
}
],
"practiceLocations": [
{
"address_1": "267 Fairview Ave",
"address_purpose": "LOCATION",
"city": "Hudson",
"state": "NY",
"postal_code": "12534",
"country_code": "US",
"telephone_number": "518-828-4062",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3880 Salem Lake Dr Ste F",
"address_purpose": "LOCATION",
"city": "Long Grove",
"state": "IL",
"postal_code": "60047",
"country_code": "US",
"telephone_number": "847-719-2220 x222",
"fax_number": "847-719-2265",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KHANDAKER",
"first_name": "DILARA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-07",
"last_updated": "2023-07-11",
"certification_date": "2023-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "192931",
"primary": true
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "IL",
"license": "036144914",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036144914",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Valatie, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.