Active NPI
Pradeep Kadimcherla, M.D.
- Internal Medicine Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 280419
- Practice address
- 2255 Adam Clayton Powell Jr Blvd # 2257
New York, NY 10027-7807 - Phone
- (212) 281-5252
- Fax
- (212) 348-5194
- NPI assigned
- Jun 18, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 280419 | NY | Primary |
Addresses
Primary practice location
2255 Adam Clayton Powell Jr Blvd # 2257
New York, NY 10027-7807
Mailing address
33 W 125TH St
New York, NY 10027-4512
Phone (212) 289-5795
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04345240 | Medicaid | NY |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2255 -2257 Adam Clayton Powell Blvd
New York, NY 10027-7807
2255 -2257 Adam Clayton Powell Jr Blvd
New York, NY 10027-7807
Phone (212) 427-2100
3455 Boston Rd
Bronx, NY 10469-2508
Phone (718) 798-2236
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 83.71
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 86.71
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harlem Medical Group, PC | Internal Medicine | Current | Accepting new patients |
| Hemant Patel MD PC | Internal Medicine | Current | Accepting new patients |
Locations
1001 Grand Concourse
Apt 1B
Bronx, NY 10452
Phone (718) 293-1230
392 Bedford Park Blvd
Bronx, NY 10458
Phone (718) 364-0100
3455 Boston Rd
Bronx, NY 10469
Phone (718) 584-0555
2255 Adam Clayton Powell Jr Blvd
#2257
New York, NY 10027
Phone (212) 281-5252
33 W 125th St
New York, NY 10027
Phone (212) 289-5795
4446 Broadway
New York, NY 10040
Phone (212) 567-6000
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Bronx, NY
- NPI 1851650550
-
- Internal Medicine Physician
- New York, NY
- NPI 1750304978
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658966400000",
"number": "1891058681",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33 W 125TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100274512",
"telephone_number": "212-289-5795",
"fax_number": "212-410-4424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2255 ADAM CLAYTON POWELL JR BLVD # 2257",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100277807",
"telephone_number": "212-281-5252",
"fax_number": "212-348-5194"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KADIMCHERLA",
"first_name": "PRADEEP",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-06-18",
"last_updated": "2022-07-28",
"certification_date": "2022-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "280419",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04345240",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2022; 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.