Individual provider Active NPI

Mandes R Kates, M.D.

  • Ophthalmology Physician
  • Goshen, NY
National Provider Identifier
1104800234
Registry record updated Jan 9, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
154580 Issued in NY
Practice address
1 Hatfield LN
Suite 3
Goshen, NY 10924-6752
Phone
(845) 294-5128
Fax
(845) 294-1479
NPI assigned
Dec 1, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 154580 NY Primary

Addresses

Primary practice location

1 Hatfield LN
Suite 3
Goshen, NY 10924-6752

Mailing address

1 Hatfield LN
Suite 3
Goshen, NY 10924-6752
Phone (845) 294-5128

Other identifiers 1

IdentifierTypeStateIssuer
00956556MedicaidNY

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
I20091009000002 NY Practitioner - Ophthalmology 1557437795 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Columbia University College of Physicians and Surgeons, 1982
Medicare assignment
May accept Medicare assignment
Group practices

Practice addresses (Care Compare)

1 Hatfield Lane
Suite 3
Goshen, NY 10924-6753

1 Hatfield LN
Goshen, NY 10924-6753

42 High St
Warwick, NY 10990-1318
Phone (845) 987-1203

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.3 of 100Reported as group
Quality
86.67
Improvement activities
40
Cost
65.44

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery33

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Middletown Medical PC Ophthalmology CurrentSince Oct 1, 2014 Accepting new patients
Middletown Medical PC CurrentSince Oct 1, 2014 Accepting new patients
Eye Physicians of Orange County PC Ophthalmology Current Accepting new patients
Eye Physicians of Orange County PC Ophthalmology CurrentSince Nov 1, 2016 Accepting new patients
Ellis Emergency Physicians PLLC Past Accepting new patients

Locations

1 Hatfield Ln
Ste 3
Goshen, NY 10924
Phone (845) 294-5128

111 Maltese Dr
Middletown, NY 10940

845 State Route 17M
Monroe, NY 10950
Phone (845) 782-0129

32 Canal St
Port Jervis, NY 12771
Phone (845) 291-3656

42 High St
Warwick, NY 10990
Phone (845) 986-6999

8 Forester Ave
Warwick, NY 10990
Phone (845) 986-5352

Networks

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

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: mandes.kates.p1@direct.epocny.nextgenshare.com

Organizations & group practices 5

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 1

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": "1133395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357689600000",
    "number": "1104800234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HATFIELD LN",
            "address_2": "SUITE 3",
            "city": "GOSHEN",
            "state": "NY",
            "postal_code": "109246752",
            "telephone_number": "845-294-5128",
            "fax_number": "845-294-1479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HATFIELD LN",
            "address_2": "SUITE 3",
            "city": "GOSHEN",
            "state": "NY",
            "postal_code": "109246752",
            "telephone_number": "845-294-5128",
            "fax_number": "845-294-1479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATES",
        "first_name": "MANDES",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-01",
        "last_updated": "2013-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "154580",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00956556",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Goshen, NY

Sources for this page

Verify at the official NPI Registry.