Individual provider Active NPI

Arthur Jay Kennish, M.D.

  • Cardiovascular Disease Physician
  • New York, NY
National Provider Identifier
1326019118
Registry record updated Jun 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
135410 Issued in NY
Practice address
108 E 96TH St
New York, NY 10128-6217
Phone
(212) 410-6610
Fax
(212) 348-0749
NPI assigned
Jan 30, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 135410 NY Primary

Addresses

Primary practice location

108 E 96TH St
New York, NY 10128-6217

Mailing address

108 E 96TH St
New York, NY 10128-6217
Phone (212) 410-6610

Other identifiers 1

IdentifierTypeStateIssuer
00747902MedicaidNY

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
I20060429000004 NY Practitioner - Cardiovascular Disease (Cardiology) 2668482225 Practice locations: New York, NY

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Albert Einstein College of Medicine of Yeshiva University, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

108 E 96TH St
New York, NY 10128-6217
Phone (212) 410-6610

Hospital & facility affiliations

  • VNS of Ny Home Care Chha Home health agency, New York, NY, CCN 337008
  • Lenox Hill Hospital Hospital, New York, NY, CCN 330119
  • Hospital for Special Surgery Hospital, New York, NY, CCN 330270
  • Suny/Stony Brook University Hospital Hospital, Stony Brook, NY, CCN 330393

Merit-based Incentive Payment System (MIPS)

Final score
24.59 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
81.96

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
135410NYMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arthur Kennish MD PastSince Jan 1, 1990 Accepting new patients
Marathon Medical, P.C. Cardiovascular Disease PastSince Jul 1, 2000 Accepting new patients

Organizations & group practices 2

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 18

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370217600000",
    "number": "1326019118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 E 96TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101286217",
            "telephone_number": "212-410-6610",
            "fax_number": "212-348-0749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "108 E 96TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "101286217",
            "telephone_number": "212-410-6610",
            "fax_number": "212-348-0749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNISH",
        "first_name": "ARTHUR",
        "middle_name": "JAY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-30",
        "last_updated": "2013-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "135410",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00747902",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.