Individual provider Active NPI

Chaitanya Kadiyala, M.D.

  • Anesthesiology Physician
  • Brooklyn, NY
National Provider Identifier
1881662922
Registry record updated Feb 23, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
232151 Issued in NY
Practice address
374 Stockholm St
C/O Faculty Practice
Brooklyn, NY 11237-4006
Phone
(718) 963-6551
Fax
(718) 963-6793
NPI assigned
Mar 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 232151 NY Primary

Addresses

Primary practice location

374 Stockholm St
C/O Faculty Practice
Brooklyn, NY 11237-4006

Mailing address

565 Plandome Road
Suite 306
Manhasset, NY 11030
Phone (646) 355-4450

Other identifiers 1

IdentifierTypeStateIssuer
02555342MedicaidNY

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
I20040617000065 NY Practitioner - AnesthesiologyPractitioner - General Practice 9739163676 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: General Practice
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Manhattan Medical Practice PCGroup PAC ID 7416107560, 7 clinicians

Practice addresses (Care Compare)

989 W Jericho Tpke
Suite 1
Smithtown, NY 11787-3241
Phone (917) 406-3069

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
232151NYMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Surgical Specialist of Long Island, PC CurrentSince Apr 4, 2023 Accepting new patients
Digestive Diseases Diagnostic & Treatment Center LLC CurrentSince Mar 1, 2019 Accepting new patients
Manhattan Medical Practice PC Anesthesiology CurrentSince Aug 2, 2012 Accepting new patients
Great Lakes Anesthesiology, PC CurrentSince Sep 1, 2022 Accepting new patients
Great South Bay Endoscopy Center, LLC CurrentSince Jan 15, 2019 Accepting new patients
Anesthesia Care, P.C. Anesthesiology Current Accepting new patients
Anesthesia Care, PC Anesthesiology CurrentSince Aug 2, 2012 Accepting new patients
Suffolk Anesthesiology Associates, PC Anesthesiology Past Accepting new patients
Office Based Anesthesia LLC Anesthesiology Past Accepting new patients

Locations

3095 Harlem Rd
Cheektowaga, NY 14225
Phone (716) 896-2245

260 Patchogue Yaphank Rd
Ste C
East Patchogue, NY 11772
Phone (631) 289-0300

303 5th Ave
Rm 706
New York, NY 10016
Phone (212) 679-0009

565 Plandome Rd
Plandome, NY 11030
Phone (208) 918-0972

36 Osprey Ave
Riverhead, NY 11901
Phone (631) 574-8660

50 Route 25A
Smithtown, NY 11787
Phone (631) 465-6225

989 W Jericho Tpke
Ste 1
Smithtown, NY 11787
Phone (631) 486-5030

1432 Hylan Blvd
Staten Island, NY 10305
Phone (718) 238-6161

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487808000000",
    "number": "1881662922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "565 PLANDOME ROAD",
            "address_2": "SUITE 306",
            "city": "MANHASSET",
            "state": "NY",
            "postal_code": "11030",
            "telephone_number": "646-355-4450",
            "fax_number": "718-963-6793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "374 STOCKHOLM ST",
            "address_2": "C/O FACULTY PRACTICE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112374006",
            "telephone_number": "718-963-6551",
            "fax_number": "718-963-6793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KADIYALA",
        "first_name": "CHAITANYA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2017-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "232151",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02555342",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.