Individual provider Active NPI

Dheeraj Rajendrannair Kamalam, MD

  • Pain Medicine (Anesthesiology) Physician
  • Great Neck, NY
National Provider Identifier
1801968268
Registry record updated Feb 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
M001403 Issued in GU
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

Updated by the provider on Feb 23, 2011

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20080710000767 NY Practitioner - AnesthesiologyPractitioner - Interventional Pain ManagementPractitioner - Critical Care (Intensivists) 3870570377 Reassigns benefits to 1 organization
I20181106001325 FL Practitioner - Pain ManagementPractitioner - Anesthesiology 3870570377 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Anesthesiology
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anesthesia Physician Solutions of South Florida, LLCGroup PAC ID 4688805286, 238 clinicians

Practice addresses (Care Compare)

7201 N University Dr
Tamarac, FL 33321-2913
Phone (954) 939-5000

Hospital & facility affiliations

  • University Hospital and Medical Center Hospital, Tamarac, FL, CCN 100224

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M001403GUMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sheridan Healthcorp, Inc. Anesthesiology CurrentSince Sep 17, 2018 Accepting new patients
Icahn School of Medicine at Mount Sinai Current Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Aug 11, 2013 Accepting new patients
Sheridan Healthcorp Inc Anesthesiology CurrentSince Sep 17, 2018 Accepting new patients
Anesthesia Physician Solutions of South Florida, LLC Anesthesiology Current Accepting new patients
Anesthesia Physician Solutions of South Florida, LLC Anesthesiology CurrentSince Sep 1, 2024 Accepting new patients
Icahn School of Medicine at Mount Sinai Anesthesiology CurrentSince Aug 11, 2013 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.