Individual provider Active NPI

Kalilou Kromah

  • Adult Psychiatric/Mental Health Registered Nurse
  • Bronx, NY
National Provider Identifier
1194335174
Registry record updated Jun 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0809X
License
646942 Issued in NY
Practice address
1064 Sheridan Avenue Apt # 1D
Bronx, NY 10456
Phone
(917) 463-8729
NPI assigned
Aug 5, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 403987 NY
Adult Psychiatric/Mental Health Registered Nurse 163WP0809X 646942 NY Primary

Addresses

Primary practice location

1064 Sheridan Avenue Apt # 1D
Bronx, NY 10456

Mailing address

1064 Sheridan Avenue Apt # 1D
Bronx, NY 10456
Phone (917) 463-8729

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address kkromah@pgcmh.org Direct
Direct Messaging Address kalilouk@live.com Direct

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220408001597 NY Practitioner - Nurse Practitioner 9830585389 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Institute for Family HealthGroup PAC ID 9234048588, 188 clinicians

Practice addresses (Care Compare)

16 E 16TH St
New York, NY 10003-3105
Phone (212) 924-7744

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
646942NYMDAdult Psychiatric/Mental Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Postgraduate Center for Mental Health CurrentSince Aug 1, 2020 Accepting new patients
The Institute for Family Health Current Accepting new patients
The Institute for Family Health CurrentSince Apr 6, 2022 Accepting new patients
Coordinated Behavioral Care Ipa Inc PastSince Aug 1, 2020 Accepting new patients

Locations

1420 Ferris Pl
Ste 1
Bronx, NY 10461
Phone (718) 239-1610

1420 Ferris Pl
Bronx, NY 10461
Phone (718) 239-1610

130 W Tremont Ave
Bronx, NY 10453
Phone (718) 299-3045

1775 Grand Concourse
Fl 8
Bronx, NY 10453
Phone (212) 560-6700

1894 Walton Ave
Bronx, NY 10453
Phone (718) 583-2508

731 White Plains Rd
Bronx, NY 10473
Phone (718) 589-8324

6 Healthy Way
Ellenville, NY 12428
Phone (845) 647-4500

11 Crum Elbow Rd
Hyde Park, NY 12538
Phone (845) 229-1020

1 Foxhall Ave
Kingston, NY 12401
Phone (845) 338-1535

140 Pine St
Kingston, NY 12401
Phone (844) 434-2778

1 Family Practice Dr
Kingston, NY 12401
Phone (845) 338-2562

1824 Madison Ave
Fl 2
New York, NY 10035
Phone (212) 423-4200

601 W 114th St
New York, NY 10025
Phone (212) 280-1284

1824 Madison Ave
New York, NY 10035
Phone (212) 423-4200

230 W 17th St
New York, NY 10011
Phone (212) 989-8999

2090 Adam Clayton Powell Jr Blvd
New York, NY 10027
Phone (212) 553-6606

690 Amsterdam Ave
New York, NY 10025
Phone (212) 865-4104

16 E 16th St
New York, NY 10003
Phone (212) 633-0800

251 W 80th St
New York, NY 10024

Organizations & group practices 4

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": "1596585600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717804800000",
    "number": "1194335174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1064 SHERIDAN AVENUE APT # 1D",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10456",
            "telephone_number": "917-463-8729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1064 SHERIDAN AVENUE APT # 1D",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10456",
            "telephone_number": "917-463-8729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KROMAH",
        "first_name": "KALILOU",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-05",
        "last_updated": "2024-06-08",
        "certification_date": "2024-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "403987",
            "primary": false
        },
        {
            "code": "163WP0809X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "NY",
            "license": "646942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kkromah@pgcmh.org",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1775 Grand Concourse Fl 8",
            "city": "Bronx",
            "state": "NY",
            "country_code": "US",
            "postal_code": "104538202",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kalilouk@live.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1064 Sheridan Avenue Apt # 1D",
            "city": "Bronx",
            "state": "NY",
            "country_code": "US",
            "postal_code": "10456",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.