Individual provider Active NPI

Gail Nkolika Ukatu, M.D.

  • Family Medicine Physician
  • New York, NY
National Provider Identifier
1356784383
Registry record updated Jan 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
296332 Issued in NY
Practice address
80 W 125TH St
New York, NY 10027-4502
Phone
(212) 913-0820
NPI assigned
Apr 9, 2013
Last updated
Jan 14, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 296332 NY Primary
Surgery Physician 208600000X 125.062787 IL

Addresses

Primary practice location

80 W 125TH St
New York, NY 10027-4502

Mailing address

1345 RXR PLZ FL 13
Uniondale, NY 11556-1301
Phone (516) 453-0435

Other practice location 1

135 N Oak St
Hinsdale, IL 60521-3860
Phone (630) 856-8900

Other practice location 2

80 W 125th St
New York, NY 10027-4502
Phone (212) 913-0820

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, NY2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20170817002306 IL Practitioner - Family Practice 8921226135
I20190124003396 NY Practitioner - Family Practice 8921226135 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Loyola University of Chicago, Stritch School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

300 Cadman Plaza W
Brooklyn, NY 11201-3229
Phone (929) 210-6000

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
296332NYMDFamily Medicine Physician
125.062787ILMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Icahn School of Medicine at Mount Sinai CurrentSince Sep 15, 2019 Accepting new patients
Icahn School of Medicine at Mount Sinai Family Medicine Current Accepting new patients
Icahn School of Medicine at Mount Sinai Family Medicine CurrentSince Apr 26, 2022 Accepting new patients
City Medical of Upper East Side, PLLC CurrentSince Feb 4, 2019 Accepting new patients
City Medical of Upper East Side, PLLC CurrentSince Feb 4, 2019 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Apr 1, 2023 Accepting new patients
Icahn School of Medicine at Mount Sinai Family Medicine CurrentSince Apr 1, 2023 Accepting new patients
City Medical of Upper East Side, PLLC Current Accepting new patients
Icahn School of Medicine at Mount Sinai Past Accepting new patients

Locations

3111 Steinway St
Astoria, NY 11103
Phone (718) 475-2345

300 Cadman Plz W
Fl 18
Brooklyn, NY 11201
Phone (929) 210-6000

150 E 42nd St
Fl 10
New York, NY 10017
Phone (646) 605-8119

234 E 85th St
New York, NY 10028
Phone (212) 241-6585

336 E 86th St
New York, NY 10028
Phone (212) 772-3627

80 W 125th St
New York, NY 10027
Phone (212) 609-2545

1345 Rxr Plz
Fl 13
Uniondale, NY 11556
Phone (516) 453-0435

Networks

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

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": "1365465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547424000000",
    "number": "1356784383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1345 RXR PLZ FL 13",
            "city": "UNIONDALE",
            "state": "NY",
            "postal_code": "115561301",
            "telephone_number": "516-453-0435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 W 125TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100274502",
            "telephone_number": "212-913-0820"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "135 N Oak St",
            "address_purpose": "LOCATION",
            "city": "Hinsdale",
            "state": "IL",
            "postal_code": "605213860",
            "country_code": "US",
            "telephone_number": "630-856-8900",
            "fax_number": "630-856-8933",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "80 W 125th St",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100274502",
            "country_code": "US",
            "telephone_number": "212-913-0820",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "UKATU",
        "first_name": "GAIL",
        "middle_name": "NKOLIKA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-09",
        "last_updated": "2019-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "296332",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IL",
            "license": "125.062787",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.