Individual provider Active NPI

Mark Robert Kahn

  • Internal Medicine Physician
  • Syosset, NY
National Provider Identifier
1134443112
Registry record updated Jan 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
265075 Issued in NY
Practice address
175 Jericho Tpke
Ste 204
Syosset, NY 11791-4538
Phone
(516) 496-4141
Fax
(516) 496-4393
NPI assigned
Mar 20, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 265075 NY Primary
Cardiovascular Disease Physician 207RC0000X 265075 NY

Addresses

Primary practice location

175 Jericho Tpke
Ste 204
Syosset, NY 11791-4538

Mailing address

175 Jericho Tpke
Ste 204
Syosset, NY 11791-4538

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
I20160513000905 NY Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 6507155561 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Icahn School of Medicine at Mount Sinai, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

201 Old Country Rd
Suite 170
Melville, NY 11747-2732
Phone (631) 251-9151

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.24 of 100Reported as individual
Quality
100
Improvement activities
40
Cost
66.24

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mark R Kahn MD PLLC Cardiovascular Disease CurrentSince Oct 18, 2017 Accepting new patients

Locations

4295 Hempstead Tpke
Bethpage, NY 11714
Phone (516) 520-2250

201 Old Country Rd
Ste 170
Melville, NY 11747
Phone (516) 496-4141

888 Old Country Rd
Plainview, NY 11803
Phone (516) 719-2543

175 Jericho Tpke
Ste 204
Syosset, NY 11791
Phone (516) 496-4141

221 Jericho Tpke
Syosset, NY 11791
Phone (516) 496-6400

Organizations & group practices 1

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 4

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": "1269043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453420800000",
    "number": "1134443112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 JERICHO TPKE",
            "address_2": "STE 204",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117914538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 JERICHO TPKE",
            "address_2": "STE 204",
            "city": "SYOSSET",
            "state": "NY",
            "postal_code": "117914538",
            "telephone_number": "516-496-4141",
            "fax_number": "516-496-4393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAHN",
        "first_name": "MARK",
        "middle_name": "ROBERT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-20",
        "last_updated": "2016-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "265075",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "265075",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syosset, NY

Sources for this page

Verify at the official NPI Registry.