Individual provider Active NPI

Pradeep Kadimcherla, M.D.

  • Internal Medicine Physician
  • New York, NY
National Provider Identifier
1891058681
Registry record updated Jul 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
280419 Issued in NY
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

Updated by the provider on Jul 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
04345240MedicaidNY

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
I20160211002238 NY Practitioner - Internal Medicine 5496059487 Reassigns benefits to 2 organizations

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
Hemant Patel MD PCGroup PAC ID 3971608522, 13 clinicians
Harlem Medical Group PCGroup PAC ID 1557526431, 9 clinicians

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 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40
Cost
83.71

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
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

OrganizationSpecialtyStatusNew patients
Harlem Medical Group, PC Internal Medicine CurrentSince Aug 1, 2019 Accepting new patients
Hemant Patel MD PC Internal Medicine CurrentSince Dec 1, 2015 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.

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

Verify at the official NPI Registry.