Individual provider Active NPI

William Edward Kalafatic, M.D.

  • Cardiovascular Disease Physician
  • Bronx, NY
National Provider Identifier
1992960538
Registry record updated Mar 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
241203 Issued in NY
Practice address
1049 E 163Rd St
Bronx, NY 10459-4510
Phone
(718) 589-6210
NPI assigned
Jul 23, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 241203 NY
Cardiovascular Disease Physician 207RC0000X 241203 NY Primary

Addresses

Primary practice location

1049 E 163Rd St
Bronx, NY 10459-4510

Mailing address

310 E 24TH St
Apartment 5G
New York, NY 10010-4012
Phone (516) 902-9400

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
I20090625000259 NY Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 6800947235 Practice locations: Bronx, NY

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
State University of New York Downstate Medical Center, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1049 E 163Rd St
Bronx, NY 10459-4510
Phone (718) 589-6210

National Provider Directory

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

Networks

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

Interoperability endpoints

  • Direct secure messaging: wkalafatic20048@sbhny.direct-ci.net

NPI Registry JSON

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

{
    "created_epoch": "1216771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1301529600000",
    "number": "1992960538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 E 24TH ST",
            "address_2": "APARTMENT 5G",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100104012",
            "telephone_number": "516-902-9400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1049 E 163RD ST",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104594510",
            "telephone_number": "718-589-6210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALAFATIC",
        "first_name": "WILLIAM",
        "middle_name": "EDWARD",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-23",
        "last_updated": "2011-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "241203",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "241203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.