Individual provider Active NPI

Mark Michael Kramer, M.D.

  • Specialist
  • Scarsdale, NY
National Provider Identifier
1184721078
Registry record updated Apr 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
132595 Issued in NY
Practice address
1075 Central Park Ave
Suite: 307
Scarsdale, NY 10583-3242
Phone
(914) 337-5956
Fax
(914) 337-6055
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 132595 NY Primary

Addresses

Primary practice location

1075 Central Park Ave
Suite: 307
Scarsdale, NY 10583-3242

Mailing address

1075 Central Park Ave
Suite: 307
Scarsdale, NY 10583-3242
Phone (914) 337-5956

Other identifiers 1

IdentifierTypeStateIssuer
133160287OtherNYTAX ID#

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
I20040505000173 NY Practitioner - Orthopedic Surgery 8224026505 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Vanderbilt University School of Medicine, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jeffrey Cohen MD and Mark Kramer MD PCGroup PAC ID 7810063328, 2 clinicians

Practice addresses (Care Compare)

1075 Central Park Ave
Suite 307
Scarsdale, NY 10583-3244
Phone (914) 337-5956

National Provider Directory

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

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461196800000",
    "number": "1184721078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1075 CENTRAL PARK AVE",
            "address_2": "SUITE: 307",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105833242",
            "telephone_number": "914-337-5956",
            "fax_number": "914-337-6055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1075 CENTRAL PARK AVE",
            "address_2": "SUITE: 307",
            "city": "SCARSDALE",
            "state": "NY",
            "postal_code": "105833242",
            "telephone_number": "914-337-5956",
            "fax_number": "914-337-6055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAMER",
        "first_name": "MARK",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2016-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "132595",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID#",
            "identifier": "133160287",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scarsdale, NY

Sources for this page

Verify at the official NPI Registry.