Individual provider Active NPI

Manoj Kumar, MD

  • Otolaryngology Physician
  • Cortland, NY
National Provider Identifier
1013922335
Registry record updated Apr 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
241226 Issued in NY
Practice address
64 Pomeroy St
Cortland, NY 13045-2708
Phone
(607) 753-6560
Fax
(607) 753-6757
NPI assigned
Jul 29, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 28, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 241226 NY Primary

Addresses

Primary practice location

64 Pomeroy St
Cortland, NY 13045-2708

Mailing address

64 Pomeroy St
Cortland, NY 13045-2708
Phone (607) 753-6560

Other identifiers 1

IdentifierTypeStateIssuer
02806619MedicaidNY

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
I20061011000441 NY Practitioner - Otolaryngology 6002812203 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cortland ENT, PCGroup PAC ID 5698864429, 7 clinicians

Practice addresses (Care Compare)

64 Pomeroy St
Cortland, NY 13045-2708
Phone (607) 753-6560

Hospital & facility affiliations

  • Cayuga Medical Center at Ithaca Hospital, Ithaca, NY, CCN 330307
  • Guthrie Cortland Regional Medical Center Hospital, Cortland, NY, CCN 330175

Merit-based Incentive Payment System (MIPS)

Final score
96.72 of 100Reported as group
Quality
91.65
Promoting interoperability
100
Improvement activities
40
Cost
90.3

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux19
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
241226NYMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cortland ENT, PC CurrentSince Oct 1, 2007 Accepting new patients
Cortland ASC, LLC PastSince Nov 7, 2012 Accepting new patients
Regional Medical Practice, PC Past Accepting new patients

Locations

64 Pomeroy St
Cortland, NY 13045
Phone (607) 662-4521

Interoperability endpoints

  • Direct secure messaging: mkumar@cortlandent.medentdirect.com

Organizations & group practices 3

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303948800000",
    "number": "1013922335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 POMEROY ST",
            "city": "CORTLAND",
            "state": "NY",
            "postal_code": "130452708",
            "telephone_number": "607-753-6560",
            "fax_number": "607-753-6757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 POMEROY ST",
            "city": "CORTLAND",
            "state": "NY",
            "postal_code": "130452708",
            "telephone_number": "607-753-6560",
            "fax_number": "607-753-6757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUMAR",
        "first_name": "MANOJ",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-29",
        "last_updated": "2011-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NY",
            "license": "241226",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02806619",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cortland, NY

Sources for this page

Verify at the official NPI Registry.