Individual provider Active NPI

Kerem Hakki Bortecen, MD, PHD, MBA, FACS

  • Surgery Physician
  • New York, NY
National Provider Identifier
1134273147
Registry record updated Mar 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
267935 Issued in NY
Practice address
14 E 60TH St
New York, NY 10022-1006
Phone
(888) 286-6600
NPI assigned
Jan 23, 2007
Last updated
Mar 18, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2017

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

Specialties & licenses 10

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD426048 PA
Surgery Physician 208600000X 13736 NH
Surgery Physician 208600000X A80625 CA
Surgery Physician 208600000X 4301079457 MI
Surgery Physician 208600000X 35097760 OH
Surgery Physician 208600000X 036129009 IL
Surgery Physician 208600000X 51339 CT
Surgery Physician 208600000X 267935 NY Primary
Surgery Physician 208600000X Q0609 TX
Surgery Physician 208600000X ME119874 FL

Addresses

Primary practice location

14 E 60TH St
New York, NY 10022-1006

Mailing address

14 E 60TH St
New York, NY 10022-1006
Phone (888) 286-6600

Other identifiers 1

IdentifierTypeStateIssuer
036129009MedicaidIL

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
I20161017001164 NY Practitioner - General Surgery 9436235025 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Business Administration, Doctor of Medicine, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
267935NYMDLicensed Practical Nurse
A80625CAMDSurgery Physician
51339CTMDSurgery Physician
ME119874FLMDSurgery Physician
036129009ILMDSurgery Physician
4301079457MIMDSurgery Physician
13736NHMDSurgery Physician
35097760OHMDSurgery Physician
MD426048PAMDSurgery Physician
Q0609TXMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
KHB Health LLC Surgery Current Accepting new patients
Metropolitan Medical Practice Plan PC CurrentSince Aug 19, 2016 Accepting new patients
Essen Medical Associates, PC Current Accepting new patients
Essen Medical Associates,PC CurrentSince Jan 16, 2017 Accepting new patients
Essen Medical Associates, PC CurrentSince Jan 16, 2017 Accepting new patients
House Call Medical Services of New York, PLLC CurrentSince Jan 16, 2017 Accepting new patients
Physicians Medical PC Past Accepting new patients
Greuner Medical PC Surgery PastSince Mar 1, 2015 Accepting new patients

Locations

1371 Seabury Ave
Bronx, NY 10461
Phone (718) 294-6200

1550 Dr Martin L King Jr Blvd
Bronx, NY 10452
Phone (347) 269-2366

2015 Grand Concourse
Bronx, NY 10453
Phone (718) 294-6200

2505 Grand Ave
Bronx, NY 10468
Phone (718) 295-1400

8989 Union Tpke
Ste A
Glendale, NY 11385
Phone (718) 746-0400

1901 1st Ave
New York, NY 10029
Phone (212) 230-6262

Organizations & group practices 8

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": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489795200000",
    "number": "1134273147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 E 60TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100221006",
            "telephone_number": "888-286-6600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 E 60TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100221006",
            "telephone_number": "888-286-6600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORTECEN",
        "first_name": "KEREM",
        "middle_name": "HAKKI",
        "credential": "MD, PHD, MBA, FACS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-23",
        "last_updated": "2017-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD426048",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NH",
            "license": "13736",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A80625",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "4301079457",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OH",
            "license": "35097760",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IL",
            "license": "036129009",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CT",
            "license": "51339",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "267935",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "Q0609",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME119874",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036129009",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.