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BITACHON 412 LLC
NPI 1528956992
Internal Medicine in Brooklyn, NY

Active since June 25, 2025
1648 E 14TH ST STE 1, BROOKLYN, NY 11229(718) 998-2350 Get Directions Write a Review

NPPES record last updated: June 25, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Bitachon 412 Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BITACHON 412 LLC (NPI 1528956992) is a healthcare organization registered as an internal medicine in Brooklyn, New York and active in the NPI registry since June 2025. The organization lists Sharon Kheradnam, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1528956992
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameBITACHON 412 LLC
Location Address1648 E 14TH ST STE 1Brooklyn, NY 11229-1175
Mailing Address1648 E 14th St Ste 1Brooklyn, NY 11229-1175
Phone(718) 998-2350
Organization SubpartNo
Authorized OfficialSharon KheradnamAuthorized Official · (347) 870-4732
Enumeration DateJune 25, 2025
NPPES CertifiedJune 25, 2025
✔ NPI 1528956992 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1648 E 14TH ST STE 1, Brooklyn, NY 11229
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bitachon 412 Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Bitachon 412 LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Sharon Kheradnam
Internal Medicine
NPI 1063823664
1 BROOKDALE PLZ
Brooklyn, NY 11212
(718) 240-5000
✔ PECOS✔ Accepts Medicare4.0 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bitachon 412 LLC's NPI number?

The NPI number for Bitachon 412 LLC is 1528956992. It was assigned to this organization in the NPPES registry on June 25, 2025.

Where is Bitachon 412 LLC located?

Bitachon 412 LLC is located at 1648 E 14th St Ste 1, Brooklyn, NY 11229. The listed phone number is (718) 998-2350.

What is Bitachon 412 LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Bitachon 412 LLC enrolled in Medicare?

Yes. Bitachon 412 LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bitachon 412 LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Bitachon 412 LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Bitachon 412 LLC was last updated on June 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.