Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Vinay N Kikkeri, MD

Individual provider Diagnostic Radiology Physician · NPI 1396722708

Vinay N Kikkeri, MD is an Interventional Radiology in Staten Island, New York. Qualified in 1991, 35 years ago. Practices with New York University, a 5,884-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
35
Licensed in
NY
In the registry since
2005
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

360 Bard Ave
Staten Island, NY 10310-1666
Phone: (718) 876-2000
Fax: (718) 876-2012
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular & Interventional Radiology Physician (primary) Taxonomy 2085R0204X · Licence 250734 (NY)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 250734 (NY)

Record details

NPI number1396722708
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 28, 2005
Last updated in NPPESDecember 20, 2021
Certification dateDecember 20, 2021
Mailing address360 Bard Ave, Staten Island, NY 10310-1666

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERVENTIONAL RADIOLOGY
Also practisesDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 1991 (35 years in practice)
Group practice New York University — 5884 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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