Individual provider Active NPI

Kara Kvilekval, MD

  • Specialist
  • East Setauket, NY
National Provider Identifier
1205832383
Registry record updated Jun 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
162761-1 Issued in NY
Practice address
4 Technology Dr
Suite 120
East Setauket, NY 11733-4068
Phone
(631) 246-8289
Fax
(631) 246-8294
NPI assigned
Jun 23, 2005
Reactivated
Mar 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 162761-1 NY Primary

Addresses

Primary practice location

4 Technology Dr
Suite 120
East Setauket, NY 11733-4068

Mailing address

4 Technology Dr
Suite 120
East Setauket, NY 11733-4068
Phone (631) 246-8289

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
I20050830000805 NY Practitioner - Vascular Surgery 5991736845 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
State University of New York at Stony Brook, School of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Harbor View Medical Services PCGroup PAC ID 5092865873, 58 clinicians

Practice addresses (Care Compare)

4 Technology Dr
Suite 120
East Setauket, NY 11733-4068
Phone (631) 246-8289

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10
Leg revascularization (restoring blood flow)1-10
Removal of tissue15

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
162761-1NYMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Harbor View Medical Services PC CurrentSince Aug 18, 2014 Accepting new patients
Harbor View Medical Services PC CurrentSince Aug 18, 2014 Accepting new patients
Harbor View Medical Services PC Current Accepting new patients

Locations

4 Technology Dr
Ste 120
East Setauket, NY 11733
Phone (516) 246-8289

100 Highlands Blvd
#9
Port Jefferson, NY 11777
Phone (631) 686-7809

Networks

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

Interoperability endpoints

  • Direct secure messaging: kara.kvilekval.1@8551.direct.athenahealth.com

Organizations & group practices 3

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 1

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": "1119484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277424000000",
    "number": "1205832383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 TECHNOLOGY DR",
            "address_2": "SUITE 120",
            "city": "EAST SETAUKET",
            "state": "NY",
            "postal_code": "117334068",
            "telephone_number": "631-246-8289",
            "fax_number": "631-246-8294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 TECHNOLOGY DR",
            "address_2": "SUITE 120",
            "city": "EAST SETAUKET",
            "state": "NY",
            "postal_code": "117334068",
            "telephone_number": "631-246-8289",
            "fax_number": "631-246-8294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KVILEKVAL",
        "first_name": "KARA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-23",
        "last_updated": "2010-06-25",
        "deactivation_date": "2006-03-16",
        "reactivation_date": "2006-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "162761-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Setauket, NY

Sources for this page

Verify at the official NPI Registry.