Individual provider Active NPI

Angela Vimbayi Kadenhe-Chiweshe, M.D.

  • Pediatric Surgery Physician
  • New York, NY
National Provider Identifier
1992956288
Registry record updated Oct 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Surgery PhysicianTaxonomy code 2086S0120X
License
247813 Issued in NY
Practice address
525 E 68TH St
New York, NY 10065-4870
Phone
(646) 962-2599
Fax
(212) 746-3884
NPI assigned
Oct 4, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Surgery Physician 2086S0120X 247813 NY Primary
Pediatric Surgery Physician 2086S0120X 0101280079 VA

Addresses

Primary practice location

525 E 68TH St
New York, NY 10065-4870

Mailing address

9 Rocky Rapids Rd
Stamford, CT 06903-3131
Phone (646) 483-0965

Other practice location 1

19815 Horace Harding Expy
Fresh Meadows, NY 11365-1732
Phone (718) 670-2468

Other identifiers 1

IdentifierTypeStateIssuer
03106021MedicaidNY

Other names 1

  • Dr. Angela Vimbayi Kadenhe Former name

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address CWID@direct.nyp.org Direct
FHIR URL https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Health Information Exchange (HIE)
FHIR URL https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/ Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180424001819 NY Practitioner - General SurgeryPractitioner - Pediatric MedicinePractitioner - Other (Physician) 0547523698 Reassigns benefits to 3 organizations
I20231219002290 VA Practitioner - Pediatric Medicine 0547523698 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
247813NYMDPediatric Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carilion Medical Center CurrentSince Nov 5, 2023 Accepting new patients
New York Queens Medicine and Surgery, P.C. Current Accepting new patients
Weill Medical College of Cornell CurrentSince Jul 1, 2019 Accepting new patients
New York Queens Medicine and Surgery, P.C. CurrentSince Oct 20, 2019 Accepting new patients
Carilion Medical Center CurrentSince Nov 5, 2023 Accepting new patients
Bon Secours Medical Group Richmond Specialty Care LLC CurrentSince Dec 23, 2024 Accepting new patients
Westchester Medical Center Advanced Physician Services PC CurrentSince May 1, 2018 Accepting new patients
Weill Medical College of Cornell CurrentSince Jul 1, 2019 Accepting new patients
Westchester Medical Center Advanced Physician Services, PC CurrentSince May 1, 2018 Accepting new patients
Bon Secours Medical Group Richmond Specialty Care LLC CurrentSince Dec 23, 2024 Accepting new patients
Weill Medical College of Cornell Past Accepting new patients
Weill Cornell University Medical College Past Accepting new patients
Cornell University Medical College Past Accepting new patients
The New York and Presbyterian Hospital Past Accepting new patients
Newyork-Presbyterian-Queens Past Accepting new patients

Locations

506 6th St
Brooklyn, NY 11215
Phone (718) 780-3279

16303 Horace Harding Expy
Fl 2
Fresh Meadows, NY 11365
Phone (718) 888-9121

19815 Horace Harding Expy
Fresh Meadows, NY 11365
Phone (718) 224-3830

420 E 76th St
New York, NY 10021
Phone (212) 434-5300

1300 York Ave
New York, NY 10065
Phone (212) 746-2900

525 E 68th St
New York, NY 10065
Phone (212) 746-2846

3959 Broadway
#2N
New York, NY 10032
Phone (212) 305-2562

622 W 168th St
New York, NY 10032
Phone (212) 305-4931

3959 Broadway
New York, NY 10032
Phone (212) 304-7297

525 E 68th St
#209
New York, NY 10065
Phone (646) 962-2599

50 E 69th St
New York, NY 10021
Phone (212) 570-4000

170 William St
New York, NY 10038
Phone (212) 238-0100

1981 Marcus Ave
Ste 208
North New Hyde Park, NY 11042
Phone (718) 670-1415

95 Grasslands Rd
Valhalla, NY 10595
Phone (914) 493-2961

1510 N 28th St
Ste 110
Richmond, VA 23223
Phone (804) 545-2304

5875 Bremo Rd
Ste 304
Richmond, VA 23226
Phone (804) 272-7979

1906 Belleview Ave SE
Roanoke, VA 24014
Phone (540) 853-0222

213 S Jefferson St
Ste 1006
Roanoke, VA 24011
Phone (540) 224-5353

4348 Electric Rd
Roanoke, VA 24018
Phone (540) 769-0600

2017 Jefferson St SW
Roanoke, VA 24014
Phone (540) 981-7128

Networks

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

Interoperability endpoints

  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
  • Direct secure messaging: ank7004@direct.nyp.org

Organizations & group practices 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1223078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730160000000",
    "number": "1992956288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 ROCKY RAPIDS RD",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069033131",
            "telephone_number": "646-483-0965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 E 68TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100654870",
            "telephone_number": "646-962-2599",
            "fax_number": "212-746-3884"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19815 Horace Harding Expy",
            "address_purpose": "LOCATION",
            "city": "Fresh Meadows",
            "state": "NY",
            "postal_code": "113651732",
            "country_code": "US",
            "telephone_number": "718-670-2468",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KADENHE-CHIWESHE",
        "first_name": "ANGELA",
        "middle_name": "VIMBAYI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-10-04",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": "NY",
            "license": "247813",
            "primary": true
        },
        {
            "code": "2086S0120X",
            "taxonomy_group": "",
            "desc": "Surgery, Pediatric Surgery",
            "state": "VA",
            "license": "0101280079",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03106021",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "CWID@direct.nyp.org",
            "affiliation": "N",
            "endpointDescription": "Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "useOtherDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Direct Address",
            "address_1": "Weill Cornell Medicine - Division of Pediatric Surgery",
            "address_2": "525 East 68th Street",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "10065",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "endpointDescription": "FHIR",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "FHIR",
            "address_1": "Weill Cornell Medicine - Division of Pediatric Surgery",
            "address_2": "525 East 68th Street",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "10065",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/",
            "affiliation": "N",
            "endpointDescription": "FHIR",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "FHIR",
            "address_1": "Weill Cornell Medicine - Division of Pediatric Surgery",
            "address_2": "525 East 68th Street",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "10065",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "KADENHE",
            "middle_name": "VIMBAYI",
            "prefix": "DR.",
            "credential": "M.D",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.