Individual provider Active NPI

Kenneth Robert Francis, MD

  • Plastic Surgery Physician
  • New York, NY
National Provider Identifier
1326076464
Registry record updated Jun 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
174830 Issued in NY
Practice address
114 E 71St St
Suite 1W
New York, NY 10021-5040
Phone
(631) 878-4642
Fax
(631) 878-4280
NPI assigned
Jun 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 174830 NY Primary

Addresses

Primary practice location

114 E 71St St
Suite 1W
New York, NY 10021-5040

Mailing address

114 E 71St St
Suite 1W
New York, NY 10021-5040
Phone (631) 878-4642

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
I20031205000159 NY Practitioner - DermatologyPractitioner - Plastic and Reconstructive Surgery 5597660100 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Eastbay Medical PC CurrentSince May 1, 2024 Accepting new patients
Vanessa Pero Medical Diagnostic Services PC Past Accepting new patients

Locations

2307 Bellmore Ave
Unit B
Bellmore, NY 11710
Phone (516) 308-7070

Interoperability endpoints

  • Direct secure messaging: krf2001@direct.nyp.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212624000000",
    "number": "1326076464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 E 71ST ST",
            "address_2": "SUITE 1W",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100215040",
            "telephone_number": "631-878-4642",
            "fax_number": "631-878-4280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 E 71ST ST",
            "address_2": "SUITE 1W",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100215040",
            "telephone_number": "631-878-4642",
            "fax_number": "631-878-4280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRANCIS",
        "first_name": "KENNETH",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2008-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "NY",
            "license": "174830",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.