Individual provider Active NPI

Atul Kukar, D.O.

  • Cardiovascular Disease Physician
  • New York, NY
National Provider Identifier
1225054984
Registry record updated Sep 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
223552 Issued in NY
Practice address
1190 5TH Ave
New York, NY 10029-6503
Phone
(212) 427-1540
Fax
(212) 410-7196
NPI assigned
Jul 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X 036.175640 IL
Cardiovascular Disease Physician 207RC0000X 223552 NY Primary

Addresses

Primary practice location

1190 5TH Ave
New York, NY 10029-6503

Mailing address

1 Gustave L Levy PL # 1030
New York, NY 10029-6504

Other practice location 1

100 E 77th St
Blackhall 9 - Interventional Cardiology
New York, NY 10075-1850
Phone (212) 434-2711

Other practice location 2

4600 Memorial Dr Ste W1
Belleville, IL 62226-5359
Phone (618) 233-3066

Other practice location 3

1 Gustave L Levy Pl
New York, NY 10029-6504
Phone (212) 427-1540

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ, IL3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20040728000094 NY Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 9133199110 Reassigns benefits to 5 organizations
I20230815002083 NJ Practitioner - Interventional Cardiology 9133199110 Reassigns benefits to 1 organization
I20250715002759 IL Practitioner - Interventional Cardiology 9133199110 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
New York College of Osteo Medicine of New York Institute of Technology, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Icahn School of Medicine at Mount SinaiGroup PAC ID 2264691070, 2,809 clinicians
Fairview Heights Medical Group SCGroup PAC ID 6800784083, 448 clinicians

Practice addresses (Care Compare)

1 Gustave L Levy PL
New York, NY 10029-6504
Phone (212) 731-7822

1 Memorial Dr
Alton, IL 62002-6722
Phone (618) 463-7240

1404 Cross St
Shiloh, IL 62269-2988
Phone (618) 607-3055

1418 Cross St
Suite 350
Shiloh, IL 62269-2988
Phone (618) 607-3900

4500 Memorial Dr
Belleville, IL 62226-5360
Phone (618) 257-6220

4600 Memorial Dr
Belleville, IL 62226-5359

Hospital & facility affiliations

  • Mount Sinai Hospital Hospital, New York, NY, CCN 330024
  • Mount Sinai West Hospital, New York, NY, CCN 330046
  • Memorial Hospital Hospital, Belleville, IL, CCN 140185

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting12
Varicose vein removal1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
223552NYMDCardiovascular Disease Physician
036.175640ILMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fairview Heights Medical Group SC CurrentSince Jul 14, 2025 Accepting new patients
St. Luke'S Warren Physician Group, PC CurrentSince Jul 24, 2023 Accepting new patients
The Floating Hospital Inc. CurrentSince Apr 9, 2014 Accepting new patients
Saratoga Hospital Cardiovascular Disease CurrentSince Nov 10, 2022 Accepting new patients
Saratoga Hospital CurrentSince Nov 10, 2022 Accepting new patients
Icahn School of Medicine at Mount Sinai Cardiovascular Disease CurrentSince Dec 1, 2017 Accepting new patients
Wyckoff Heights Medical Center Current Accepting new patients
St. Luke'S Warren Physician Group, PC Cardiovascular Disease CurrentSince Jul 24, 2023 Accepting new patients
St. Luke'S Warren Physician Group, PC Current Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Dec 1, 2017 Accepting new patients
Fairview Heights Medical Group SC Current Accepting new patients
North Shore Long Island Jewish Health Care Inc Cardiovascular Disease CurrentSince Feb 1, 2012 Accepting new patients
North Shore Long Island Jewish Healthcare Cardiovascular Disease CurrentSince Feb 1, 2012 Accepting new patients
The Floating Hospital Inc. CurrentSince Apr 9, 2014 Accepting new patients
Lenox Hill Interventional Cardiac & Vascular Services PC Interventional Cardiology Past Accepting new patients
Icahn School of Medicine at Mount Sinai Past Accepting new patients
St. Vincent'S Midtown Hospital Past Accepting new patients
St Lukes Roosevelt Hospital Center Past Accepting new patients

Locations

1 Memorial Dr
Alton, IL 62002
Phone (618) 463-7240

4600 Memorial Dr
Ste W1L
Belleville, IL 62226

4600 Memorial Dr
Ste W1
Belleville, IL 62226
Phone (618) 233-3066

755 Memorial Pkwy
Ste 106
Phillipsburg, NJ 08865
Phone (908) 454-5221

185 Roseberry St
Bldg 2ND
Phillipsburg, NJ 08865
Phone (908) 847-2619

279 State Route 31 S
Washington, NJ 07882
Phone (908) 689-2201

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

1029 41st Ave
Long Island City, NY 11101
Phone (718) 361-6266

1554 Northern Blvd
Manhasset, NY 11030
Phone (516) 390-9242

7554 Metropolitan Ave
Middle Vlg, NY 11379
Phone (718) 326-0400

100 E 77th St
#9
New York, NY 10075
Phone (212) 434-2690

130 E 77th St
Fl 9
New York, NY 10075
Phone (212) 434-2606

1421 3rd Ave
New York, NY 10028
Phone (212) 744-5538

1190 5th Ave
New York, NY 10029
Phone (212) 241-6756

5 E 98th St
Fl 5
New York, NY 10029
Phone (212) 241-8234

10114 Liberty Ave
Ozone Park, NY 11417
Phone (718) 487-3330

10114 Liberty Ave
#13292
Ozone Park, NY 11417
Phone (718) 487-3330

300 Community Dr
Plandome, NY 11030

385 Seneca Ave
Ridgewood, NY 11385
Phone (201) 843-7574

211 Church St
Saratoga Springs, NY 12866
Phone (518) 583-8461

972 Brush Hollow Rd
Westbury, NY 11590

Networks

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

Interoperability endpoints

  • Direct secure messaging: akukar26441@direct.crmcwy.org
  • Direct secure messaging: atulkukar@nslijmedgr.allscriptsdirect.net
  • Direct secure messaging: atulkukar@whmc.allscriptsdirect.net

Organizations & group practices 18

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.

View all 18

Hospital & facility affiliations 9

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": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758067200000",
    "number": "1225054984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 GUSTAVE L LEVY PL # 1030",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100296504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1190 5TH AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100296503",
            "telephone_number": "212-427-1540",
            "fax_number": "212-410-7196"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 E 77th St",
            "address_2": "Blackhall 9 - Interventional Cardiology",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100751850",
            "country_code": "US",
            "telephone_number": "212-434-2711",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4600 Memorial Dr Ste W1",
            "address_purpose": "LOCATION",
            "city": "Belleville",
            "state": "IL",
            "postal_code": "622265359",
            "country_code": "US",
            "telephone_number": "618-233-3066",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Gustave L Levy Pl",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100296504",
            "country_code": "US",
            "telephone_number": "212-427-1540",
            "fax_number": "212-410-7196",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUKAR",
        "first_name": "ATUL",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-15",
        "last_updated": "2025-09-17",
        "certification_date": "2025-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "IL",
            "license": "036.175640",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "223552",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "N",
            "endpointDescription": "BJC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4600 Memorial Dr Ste W-1L",
            "city": "Belleville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "622265368",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.