Individual provider Active NPI

Keyur Bharat Thakar, M.D.

  • Hematology & Oncology Physician
  • Sleepy Hollow, NY
National Provider Identifier
1992038251
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
279360 Issued in NY
Practice address
777 N Broadway Ste 207
Sleepy Hollow, NY 10591-1019
Phone
(914) 366-1625
NPI assigned
Sep 17, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 279360 NY Primary

Addresses

Primary practice location

777 N Broadway Ste 207
Sleepy Hollow, NY 10591-1019

Mailing address

777 N Broadway Ste 207
Sleepy Hollow, NY 10591-1019
Phone (914) 366-1625

Other identifiers 1

IdentifierTypeStateIssuer
04176601MedicaidNY

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
I20150630000046 NY Practitioner - Hematology/Oncology 0143541060 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

777 N Broadway
Sleepy Hollow, NY 10591-1000
Phone (914) 366-1625

Hospital & facility affiliations

  • North Shore Home Care Chha Home health agency, Westbury, NY, CCN 337148
  • Phelps Hospital Hospital, Sleepy Hollow, NY, CCN 330261
  • Northern Westchester Hospital Hospital, Mount Kisco, NY, CCN 330162

Merit-based Incentive Payment System (MIPS)

Final score
79.07 of 100Reported as group
Quality
57.91
Promoting interoperability
77
Improvement activities
40
Cost
80.36

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
279360NYMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Guthrie Medical Group, P.C. CurrentSince May 15, 2015 Accepting new patients
North Shore-Lij Medical PC CurrentSince Jul 25, 2017 Accepting new patients
North Shore Health System Medical Faculty Group Practice Inc Hematology & Oncology CurrentSince Aug 15, 2021 Accepting new patients

Locations

130 Center Way
Corning, NY 14830
Phone (607) 936-9971

450 Lakeville Rd
North New Hyde Park, NY 11042
Phone (516) 321-3000

300 Community Dr
Plandome, NY 11030

777 N Broadway
Sleepy Hollow, NY 10591
Phone (914) 366-0664

777 N Broadway
Ste 207
Sleepy Hollow, NY 10591
Phone (845) 517-2870

972 Brush Hollow Rd
Westbury, NY 11590

1 Guthrie Sq
Sayre, PA 18840
Phone (570) 887-3106

Networks

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

Interoperability endpoints

  • Direct secure messaging: kthakar65885@northwell.direct-ci.com

Organizations & group practices 3

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 5

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": "1253145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1992038251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 N BROADWAY STE 207",
            "city": "SLEEPY HOLLOW",
            "state": "NY",
            "postal_code": "105911019",
            "telephone_number": "914-366-1625"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 N BROADWAY STE 207",
            "city": "SLEEPY HOLLOW",
            "state": "NY",
            "postal_code": "105911019",
            "telephone_number": "914-366-1625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THAKAR",
        "first_name": "KEYUR",
        "middle_name": "BHARAT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-09-17",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NY",
            "license": "279360",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04176601",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sleepy Hollow, NY

Sources for this page

Verify at the official NPI Registry.