NPIMap

Individual provider Active NPI

Kazi N Sumon, MD

  • Emergency Medicine Physician
  • Brooklyn, NY
National Provider Identifier
1164983185
Registry record updated Aug 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
316905 Issued in NY
Practice address
121 Dekalb Avenue
Brooklyn, NY 11201-5425
Phone
(718) 250-8000
NPI assigned
Mar 31, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207P00000X 316905 NY Primary

Addresses

Primary practice location

121 Dekalb Avenue
Brooklyn, NY 11201-5425

Mailing address

PO Box 635578
Cincinnati, OH 45263-5578
Phone (888) 952-6772

Other practice location 1

101 Nicolls Rd Rm 50
Stony Brook, NY 11794-8350
Phone (347) 234-5294

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220712001461 NY Practitioner - Emergency Medicine 2163759812 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
George Washington University School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Care Services of New York PCGroup PAC ID 3678678646, 43 clinicians
Weill Medical College of CornellGroup PAC ID 6800709023, 2,023 clinicians

Practice addresses (Care Compare)

121 Dekalb Ave
Brooklyn, NY 11201-5425
Phone (718) 250-8000

150 Broad St
Hamilton, NY 13346-9575
Phone (315) 824-1100

525 E 68TH St
Emergency Physicians Dept
New York, NY 10021-4870
Phone (646) 962-7300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
85.32
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
316905NYMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Care Services of New York, P.C. Single Specialty CurrentSince Jul 1, 2023 Accepting new patients
Weill Medical College of Cornell Single Specialty CurrentSince Mar 1, 2024 Accepting new patients
Weill Medical College of Cornell Single Specialty CurrentSince Mar 1, 2024 Accepting new patients
Maimonides Medical Center - MMC Emergency Physicians FPP Single Specialty CurrentSince Feb 3, 2024 Accepting new patients
Weill Medical College of Cornell Single Specialty Current Accepting new patients

Locations

4802 10th Ave
Brooklyn, NY 11219
Phone (718) 283-8724

121 DeKalb Ave
Brooklyn, NY 11201
Phone (718) 250-6604

525 E 68th St
New York, NY 10065
Phone (212) 746-2846

Networks

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

Organizations & group practices 6

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 8

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": "1553990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754956800000",
    "number": "1164983185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 635578",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452635578",
            "telephone_number": "888-952-6772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 DEKALB AVENUE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112015425",
            "telephone_number": "718-250-8000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Nicolls Rd Rm 50",
            "address_purpose": "LOCATION",
            "city": "Stony Brook",
            "state": "NY",
            "postal_code": "117948350",
            "country_code": "US",
            "telephone_number": "347-234-5294",
            "fax_number": "347-658-3520",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUMON",
        "first_name": "KAZI",
        "middle_name": "N",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-03-31",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "316905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.