Active NPI
Anamika Patni
- Internal Medicine Physician
- Baldwin, NY
National Provider Identifier
1912903154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 230750
- Practice address
- 865 Merrick Rd
Suite 301
Baldwin, NY 11510-3338 - Phone
- (516) 569-1396
- Fax
- (516) 569-1397
- NPI assigned
- Jun 22, 2005
- Sex
- Female
- 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 | 230750 | NY | Primary |
Addresses
Primary practice location
865 Merrick Rd
Suite 301
Baldwin, NY 11510-3338
Mailing address
P O Box 464
Merrick, NY 11566
Phone (516) 569-1396
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P3067939 | Other | NY | OXFORD |
| 02523646 | 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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040501000010 | NY | Practitioner - Internal Medicine | 3870581713 | Practice locations: Baldwin, NY; Merrick, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2280 Grand Ave
Suite 207a
Baldwin, NY 11510-3110
Phone (516) 569-1396
865 Merrick Rd
Suite 301
Baldwin, NY 11510-3338
Phone (516) 569-1396
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 230750 | NY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Franklin Hospital | Past | Accepting new patients | |
| Michael a. Dibari , M.D. , P.C. | Internal Medicine | Past | Accepting new patients |
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
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.
-
- General Acute Care Hospital
- Valley Stream, NY
- NPI 1528075108
-
- Internal Medicine Physician
- Baldwin, NY
- NPI 1134158363
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1287619200000",
"number": "1912903154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P O BOX 464",
"city": "MERRICK",
"state": "NY",
"postal_code": "11566",
"telephone_number": "516-569-1396",
"fax_number": "516-569-1397"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "865 MERRICK RD",
"address_2": "SUITE 301",
"city": "BALDWIN",
"state": "NY",
"postal_code": "115103338",
"telephone_number": "516-569-1396",
"fax_number": "516-569-1397"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATNI",
"first_name": "ANAMIKA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-06-22",
"last_updated": "2010-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "230750",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P3067939",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02523646",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Baldwin, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2010; 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.