Active NPI
Dheeraj Rajendrannair Kamalam, MD
- Pain Medicine (Anesthesiology) Physician
- Great Neck, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- M001403
- Practice address
- 6 Lodge Rd
Great Neck, NY 11021-3912 - Phone
- (516) 348-5344
- Fax
- (516) 482-3512
- NPI assigned
- Nov 14, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | M001403 | GU | |
| Critical Care Medicine (Anesthesiology) Physician | 207LC0200X | M001403 | GU | |
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | M001403 | GU | Primary |
Addresses
Primary practice location
6 Lodge Rd
Great Neck, NY 11021-3912
Mailing address
6 Lodge Rd
Great Neck, NY 11021-3912
Phone (516) 348-5344
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Pain Management
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7201 N University Dr
Tamarac, FL 33321-2913
Phone (954) 939-5000
Hospital & facility affiliations
- University Hospital and Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M001403 | GU | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sheridan Healthcorp, Inc. | Anesthesiology | Current | Accepting new patients |
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| Sheridan Healthcorp Inc | Anesthesiology | Current | Accepting new patients |
| Anesthesia Physician Solutions of South Florida, LLC | Anesthesiology | Current | Accepting new patients |
| Anesthesia Physician Solutions of South Florida, LLC | Anesthesiology | Current | Accepting new patients |
| Icahn School of Medicine at Mount Sinai | Anesthesiology | Current | Accepting new patients |
| Sheridan Healthcorp Inc | Anesthesiology | Current | Accepting new patients |
| Anesthesiology Pain Associates PLLC | Pain Medicine | Past | Accepting new patients |
Locations
5301 S Congress Ave
Lantana, FL 33462
Phone (561) 548-3549
20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290
11750 SW 40th St
Miami, FL 33175
Phone (305) 227-5544
1613 NW 136th Ave
Ste 200
Sunrise, FL 33323
Phone (954) 838-2502
7201 N University Dr
Tamarac, FL 33321
Phone (954) 721-2200
7901 Broadway
Rm A119
Elmhurst, NY 11373
Phone (718) 334-3915
7901 Broadway
Flushing, NY 11373
Phone (718) 334-2156
Organizations & group practices 9
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.
-
- Anesthesiology Physician
- Miami, FL
- NPI 1104248699
-
- Orthopaedic Surgery Physician
- Elmhurst, NY
- NPI 1609120674
-
- Anesthesiology Physician
- Okeechobee, FL
- NPI 1629781711
-
- Pain Medicine (Anesthesiology) Physician
- Great Neck, NY
- NPI 1497052716
-
- Anesthesiology Physician
- Elmhurst, NY
- NPI 1063766038
-
- Diagnostic Radiology Physician
- Elmhurst, NY
- NPI 1619221686
-
- Anesthesiology Physician
- Port St Lucie, FL
- NPI 1437823507
-
- Anesthesiology Physician
- North Miami Beach, FL
- NPI 1184607228
-
- Anesthesiology Physician
- North Miami Beach, FL
- NPI 1578429460
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tamarac, FL
- NPI 1144274770
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1298419200000",
"number": "1801968268",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 LODGE RD",
"city": "GREAT NECK",
"state": "NY",
"postal_code": "110213912",
"telephone_number": "516-348-5344",
"fax_number": "516-482-3512"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 LODGE RD",
"city": "GREAT NECK",
"state": "NY",
"postal_code": "110213912",
"telephone_number": "516-348-5344",
"fax_number": "516-482-3512"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAMALAM",
"first_name": "DHEERAJ",
"middle_name": "RAJENDRANNAIR",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-14",
"last_updated": "2011-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "GU",
"license": "M001403",
"primary": false
},
{
"code": "207LC0200X",
"taxonomy_group": "",
"desc": "Anesthesiology, Critical Care Medicine",
"state": "GU",
"license": "M001403",
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "GU",
"license": "M001403",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Great Neck, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2011; 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.
- 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.