Active NPI
Kamal A Tadros, M.D.
- Internal Medicine Physician
- Rosedale, NY
National Provider Identifier
1063467546
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 196376
- Practice address
- 235-20 147 Ave
Ste 1
Rosedale, NY 11422 - Phone
- (718) 276-1433
- NPI assigned
- May 23, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 196376 | NY | |
| Internal Medicine Physician | 207R00000X | 196376 | NY | Primary |
Addresses
Primary practice location
235-20 147 Ave
Ste 1
Rosedale, NY 11422
Mailing address
235-20 147 Ave
Ste 1
Rosedale, NY 11422
Phone (718) 276-1433
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01659594 | Medicaid | NY |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090918000060 | NY | Practitioner - Internal Medicine | 0941356877 | Practice locations: Rosedale, NY |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| KT Medical Healthcare PC | Current | Accepting new patients | |
| Flushing Hospital & Medical Center | Past | Accepting new patients | |
| Flushing Emergency Practice Plan | Past | Accepting new patients | |
| Gastrointestinal Care of Long Island PLLC | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Rehabilitation Clinic/Center
- Glendale, NY
- NPI 1063871549
-
- Emergency Medicine Physician
- Flushing, NY
- NPI 1881622777
-
- General Acute Care Hospital
- Flushing, NY
- NPI 1548217763
-
- Gastroenterology Physician
- Massapequa, NY
- NPI 1265571863
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561680000000",
"number": "1063467546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "235-20 147 AVE",
"address_2": "STE 1",
"city": "ROSEDALE",
"state": "NY",
"postal_code": "11422",
"telephone_number": "718-276-1433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "235-20 147 AVE",
"address_2": "STE 1",
"city": "ROSEDALE",
"state": "NY",
"postal_code": "11422",
"telephone_number": "718-276-1433"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TADROS",
"first_name": "KAMAL",
"middle_name": "A",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-23",
"last_updated": "2019-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "NY",
"license": "196376",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "196376",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01659594",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rosedale, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.