Individual provider Active NPI

Felix Kuo, MD

  • Dermatology Physician
  • Huntington, NY
National Provider Identifier
1285625228
Registry record updated Aug 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
250872 Issued in NY
Practice address
775 Park Ave
Suite 145
Huntington, NY 11743-3976
Phone
(631) 367-5395
Fax
(631) 351-4562
NPI assigned
Oct 31, 2005
Last updated
Aug 18, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2009

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 220481 MA
Dermatology Physician 207N00000X 250872 NY Primary
Procedural Dermatology Physician 207NS0135X A95073 CA

Addresses

Primary practice location

775 Park Ave
Suite 145
Huntington, NY 11743-3976

Mailing address

775 Park Ave
Suite 145
Huntington, NY 11743-3976
Phone (631) 367-5395

Other identifiers 3

IdentifierTypeStateIssuer
2101785MedicaidMA
1285625228OtherNPI
00A950730OtherCAINDIVIDUAL PTAN

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
I20090327000042 NY Practitioner - Dermatology 4981630977 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Tufts University School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bellmore Dermatology PLLCGroup PAC ID 8527014935, 2 clinicians

Practice addresses (Care Compare)

2351 Bedford Ave
Bellmore, NY 11710-3627
Phone (516) 781-5070

325 Park Ave
Huntington, NY 11743-2779
Phone (631) 659-4400

5 Cuba Hill Rd
Greenlawn, NY 11740-1624
Phone (631) 628-5000

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision125
Removal of skin lesions886
Removal of skin cancer983
Removal or shaving of skin growth1-10
Skin biopsy442

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95073CAMDMental Health Counselor
A95073CAMDProcedural Dermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore Medical Group of the Mount Sinai School of Medicine Procedural Dermatology CurrentSince Jan 1, 2009 Accepting new patients
Robert L Bruckstein MD PC Dermatology Current Accepting new patients
North Shore Medical Group of the Mount Sinai School of Medicine Current Accepting new patients
Comprehensive Dermatology, P.C. CurrentSince Jun 20, 2019 Accepting new patients
Bellmore Dermatology PLLC CurrentSince Feb 1, 2013 Accepting new patients
North Shore Medical Group of the Mount Sinai School of Medicine CurrentSince Jan 1, 2009 Accepting new patients
Boston University Dermatology, Inc. Dermatology Past Accepting new patients
Evans Medical Foundation, Inc. Past Accepting new patients
Austin FP Past Accepting new patients

Locations

2351 Bedford Ave
Bellmore, NY 11710
Phone (516) 781-5070

5 Cuba Hill Rd
Greenlawn, NY 11740
Phone (631) 628-5000

241 E Main St
Huntington, NY 11743
Phone (631) 351-3700

325 Park Ave
Huntington, NY 11743
Phone (631) 351-3700

775 Park Ave
Huntington, NY 11743
Phone (631) 396-1595

775 Park Ave
Ste 145
Huntington, NY 11743
Phone (631) 261-4445

1122 Broadway
Woodmere, NY 11598
Phone (516) 295-3838

Networks

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

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/ez_00030

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250553600000",
    "number": "1285625228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "775 PARK AVE",
            "address_2": "SUITE 145",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117433976",
            "telephone_number": "631-367-5395",
            "fax_number": "631-351-4562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "775 PARK AVE",
            "address_2": "SUITE 145",
            "city": "HUNTINGTON",
            "state": "NY",
            "postal_code": "117433976",
            "telephone_number": "631-367-5395",
            "fax_number": "631-351-4562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUO",
        "first_name": "FELIX",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-31",
        "last_updated": "2009-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MA",
            "license": "220481",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "250872",
            "primary": true
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "CA",
            "license": "A95073",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2101785",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1285625228",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL PTAN",
            "identifier": "00A950730",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington, NY

Sources for this page

Verify at the official NPI Registry.