Individual provider Active NPI

Kevin Tse, MD

  • Family Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1083154546
Registry record updated Feb 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
307233 Issued in NY
Practice address
846 55TH St Apt 1
Brooklyn, NY 11220-5167
Phone
(718) 436-8060
Fax
(718) 436-8070
NPI assigned
Mar 3, 2017
Last updated
Feb 6, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 307233 NY Primary

Addresses

Primary practice location

846 55TH St Apt 1
Brooklyn, NY 11220-5167

Mailing address

846 55TH St Apt 1
Brooklyn, NY 11220-5167
Phone (718) 436-8060

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
I20201029000965 NY Practitioner - Family Practice 5597175711 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tse Medical PLLCGroup PAC ID 7517377732, 2 clinicians

Practice addresses (Care Compare)

846 55TH St
Apt 1
Brooklyn, NY 11220-5167
Phone (718) 436-8060

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
307233NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
MVHS Inc CurrentSince Apr 29, 2021 Accepting new patients
MVHS Inc Family Medicine CurrentSince Apr 29, 2021 Accepting new patients
Tse Medical PLLC CurrentSince Oct 1, 2020 Accepting new patients
Lim H.Tse,M.D.,P.C. PastSince Oct 1, 2020 Accepting new patients

Locations

2567 E 14th St
Ste 1
Brooklyn, NY 11235
Phone (718) 676-6200

120 Hobart St
Utica, NY 13501
Phone (315) 798-1149

1676 Sunset Ave
Utica, NY 13502
Phone (315) 624-5567

2209 Genesee St
Utica, NY 13501
Phone (315) 798-8100

2209 Genesee St
Ofc
Utica, NY 13501
Phone (315) 801-3282

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1488499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675641600000",
    "number": "1083154546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "846 55TH ST APT 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112205167",
            "telephone_number": "718-436-8060",
            "fax_number": "718-436-8070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "846 55TH ST APT 1",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112205167",
            "telephone_number": "718-436-8060",
            "fax_number": "718-436-8070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TSE",
        "first_name": "KEVIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-03",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "307233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.