Individual provider Active NPI

Chaim Kabalkin, MD

  • Cardiovascular Disease Physician
  • Brooklyn, NY
National Provider Identifier
1821048471
Registry record updated Apr 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
2061101 Issued in NY
Practice address
4802 Tenth Ave
Attn: Cardiology
Brooklyn, NY 11219-2916
Phone
(718) 283-7821
Fax
(718) 283-8956
NPI assigned
May 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 2061101 NY Primary

Addresses

Primary practice location

4802 Tenth Ave
Attn: Cardiology
Brooklyn, NY 11219-2916

Mailing address

4802 Tenth Ave
Attn: Cardiology
Brooklyn, NY 11219-2916
Phone (718) 283-7821

Other identifiers 1

IdentifierTypeStateIssuer
02082171MedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ckabalkin111933@nyumc.direct-ci.com Direct

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
I20040302001118 NY Practitioner - Cardiovascular Disease (Cardiology) 6204723406 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
New York UniversityGroup PAC ID 1355232422, 5,925 clinicians

Practice addresses (Care Compare)

111 Broadway
New York, NY 10006-1901
Phone (212) 263-9700

1220 Ave P
Brooklyn, NY 11229-1009
Phone (718) 376-1004

Hospital & facility affiliations

  • NYU Langone Hospitals Hospital, New York, NY, CCN 330214
  • Maimonides Medical Center Hospital, Brooklyn, NY, CCN 330194

Merit-based Incentive Payment System (MIPS)

Final score
90.8 of 100Reported as group
Quality
91.79
Promoting interoperability
100
Improvement activities
40
Cost
75.18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101227524VAMDUndersea and Hyperbaric Medicine (Emergency Medicine) Physician
2061101NYMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New York University Cardiovascular Disease CurrentSince Oct 1, 2015 Accepting new patients
New York University Cardiovascular Disease CurrentSince Oct 1, 2015 Accepting new patients
Maimonides Cardiology FPP Cardiovascular Disease CurrentSince Jan 1, 2013 Accepting new patients
Interphase Medical Care P.C. PastSince Dec 1, 2012 Accepting new patients
Maimonides Faculty Practice Plan Past Accepting new patients

Locations

9708 Seaview Ave
Brooklyn, NY 11236
Phone (718) 226-4300

848 49th St
Ste 2
Brooklyn, NY 11220
Phone (718) 283-7489

1220 Avenue P
Brooklyn, NY 11229
Phone (718) 375-7546

4802 10th Ave
Brooklyn, NY 11219
Phone (718) 283-8724

1902 86th St
Brooklyn, NY 11214
Phone (718) 372-0888

13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942

13303 Jamaica Ave
#13292
Richmond Hill, NY 11418
Phone (718) 291-3276

14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224

Networks

  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: ckabalkin111933@nyumc.direct-ci.com

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 and National Provider Directory roles.

Hospital & facility affiliations 8

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": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617580800000",
    "number": "1821048471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4802 TENTH AVE",
            "address_2": "ATTN: CARDIOLOGY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112192916",
            "telephone_number": "718-283-7821",
            "fax_number": "718-283-8956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4802 TENTH AVE",
            "address_2": "ATTN: CARDIOLOGY",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112192916",
            "telephone_number": "718-283-7821",
            "fax_number": "718-283-8956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KABALKIN",
        "first_name": "CHAIM",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2021-04-05",
        "certification_date": "2021-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "2061101",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02082171",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ckabalkin111933@nyumc.direct-ci.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1220 Avenue P",
            "city": "Brooklyn",
            "state": "NY",
            "country_code": "US",
            "postal_code": "112291009",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.