Individual provider Active NPI

Dilara Khandaker, MD

  • Family Medicine Physician
  • Valatie, NY
National Provider Identifier
1770686248
Registry record updated Jul 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
192931 Issued in NY
Practice address
346 McCagg Rd
Valatie, NY 12184-5808
Phone
(518) 669-2621
NPI assigned
Sep 7, 2006
Last updated
Jul 11, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
036144914MedicaidIL

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180922000036 IL Practitioner - Family Practice 7214096122 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036144914ILMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Best Practices Inpatient Care, LTD. Hospitalist CurrentSince Oct 1, 2018 Accepting new patients
Best Practices Inpatient Care,LTD CurrentSince Oct 1, 2018 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.

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

Verify at the official NPI Registry.