Kaivalya Deshpande, MD is a medicare enrolled "Internal Medicine - Pulmonary Disease" in Brooklyn, New York. His current practice location is
150 55th St, Brooklyn, New York. You can reach out to his office (for appointments etc.) via phone at
(718) 630-7000.
Kaivalya Deshpande is licensed to practice in New York (license number 325411) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1316478100.
Provider's Profile
Full Name | Kaivalya Deshpande |
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Gender | Male |
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Speciality | Internal Medicine - Pulmonary Disease |
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Location | 150 55th St, Brooklyn, New York |
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Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1316478100
- Provider Enumeration Date: 03/23/2017
- Last Update Date: 11/15/2023
Medicare PECOS Information:
- PECOS PAC ID: 6204284656
- Enrollment ID: I20231127001477
Medical Identifiers
Medical identifiers for Kaivalya Deshpande such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1316478100 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
163WC0200X | Registered Nurse - Critical Care Medicine | 325411 (New York) | Secondary |
207RP1001X | Internal Medicine - Pulmonary Disease | 325411 (New York) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kaivalya Deshpande allows following entities to bill medicare on his behalf.
Entity Name | New York University |
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Entity Type | Part B Supplier - Clinic/group Practice |
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Entity Identifiers | NPI Number: 1285826438 PECOS PAC ID: 1355232422 Enrollment ID: O20090822000026 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kaivalya Deshpande is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Kaivalya Deshpande, MD 150 55th St, Brooklyn, NY 11220-2508 Ph: (718) 630-7000 | Kaivalya Deshpande, MD 150 55th St, Brooklyn, NY 11220-2508 Ph: (718) 630-7000 |
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