NPIMap

Individual provider Active NPI

Mikail Kamal

  • Geriatric Medicine (Family Medicine) Physician
  • New York, NY
National Provider Identifier
1124529953
Registry record updated Dec 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
300396 Issued in NY
Practice address
1 Gustave L Levy PL
New York, NY 10029-6504
Phone
(212) 256-2904
NPI assigned
Feb 27, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) Physician 207QG0300X 300396 NY Primary

Addresses

Primary practice location

1 Gustave L Levy PL
New York, NY 10029-6504

Mailing address

2510 30TH Ave
Astoria, NY 11102-2418
Phone (718) 932-1000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mikail.kamal@mssm.edu Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, NY3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20211208002594 CT Practitioner - HospitalistPractitioner - Osteopathic Manipulative Medicine 6406246305 Reassigns benefits to 1 organization
I20230228002159 NY Practitioner - Internal Medicine 6406246305 Reassigns benefits to 3 organizations
I20230814000074 NY Practitioner - Geriatric MedicinePractitioner - Family Practice 6406246305 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Geriatric MedicineAlso: Family Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northeast Medical Group IncGroup PAC ID 1254233836, 1,357 clinicians

Practice addresses (Care Compare)

1 Gustave L Levy PL
New York, NY 10029-6504
Phone (212) 241-9065

1000 10TH Ave
New York, NY 10019-1147
Phone (212) 523-6500

5 Perryridge Rd
Greenwich, CT 06830-4608
Phone (203) 863-3840

95 Armory Rd
Stratford, CT 06614-1702
Phone (203) 384-3388

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Medical Group, Inc. CurrentSince Dec 20, 2021 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Aug 1, 2023 Accepting new patients
Mill Hill Medical Consultants Inc CurrentSince Dec 20, 2021 Accepting new patients
Icahn School of Medicine at Mount Sinai Family Medicine CurrentSince Feb 1, 2026 Accepting new patients
Northeast Medical Group, PLLC Family Medicine CurrentSince Feb 20, 2023 Accepting new patients
Jewish Home Lifecare, Manhattan CurrentSince Feb 6, 2026 Accepting new patients
Jewish Home Lifecare, Manhattan Geriatric Medicine CurrentSince Feb 6, 2026 Accepting new patients
Icahn School of Medicine at Mount Sinai Family Medicine CurrentSince Aug 1, 2023 Accepting new patients

Locations

20 York St
#329
New Haven, CT 06510
Phone (203) 688-1734

20 York St
Fl 3
New Haven, CT 06510
Phone (203) 688-0715

20 York St
North Haven, CT 06510
Phone (203) 688-2433

95 Armory Rd
Stratford, CT 06614
Phone (203) 384-3388

2510 30th Ave
Long Island City, NY 11102
Phone (718) 267-4245

120 W 106th St
New York, NY 10025
Phone (212) 870-4715

17 E 102nd St
New York, NY 10029
Phone (212) 241-7968

150 E 42nd St
Fl 9
New York, NY 10017
Phone (646) 605-8119

1111 Amsterdam Ave
New York, NY 10025
Phone (212) 523-2309

1000 10th Ave
New York, NY 10019
Phone (212) 523-2369

10114 Liberty Ave
Ozone Park, NY 11417
Phone (718) 487-3330

520 Main St
Roosevelt Island, NY 10044
Phone (212) 832-2310

101 Theall Rd
Rye, NY 10580
Phone (516) 536-0800

18 Rye Ridge Plz
Rye Brook, NY 10573
Phone (914) 253-9252

Networks

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

Interoperability endpoints

  • Direct secure messaging: mkamal546690@direct.ynhh.org

Organizations & group practices 9

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 10

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": "1519689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702857600000",
    "number": "1124529953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2510 30TH AVE",
            "city": "ASTORIA",
            "state": "NY",
            "postal_code": "111022418",
            "telephone_number": "718-932-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 GUSTAVE L LEVY PL",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100296504",
            "telephone_number": "212-256-2904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMAL",
        "first_name": "MIKAIL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-02-27",
        "last_updated": "2023-12-18",
        "certification_date": "2023-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "NY",
            "license": "300396",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mikail.kamal@mssm.edu",
            "affiliation": "N",
            "endpointDescription": "Practice Location",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1 Gustave L Levy Pl",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100296504",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.