Active NPI
Kelash Kumar, MD
- Internal Medicine Physician
- Glen Cove, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 305728
- Practice address
- 101 Saint Andrews LN
Glen Cove, NY 11542-2254 - Phone
- (516) 674-7300
- NPI assigned
- Jul 12, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Internal Medicine Physician | 207R00000X | 305728 | NY | Primary |
Addresses
Primary practice location
101 Saint Andrews LN
Glen Cove, NY 11542-2254
Mailing address
1100 Avalon SQ # 1305
Glen Cove, NY 11542-2877
Phone (347) 915-8761
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1721 W Yosemite Ave
Manteca, CA 95337-5130
Phone (209) 825-3700
1777 W Yosemite Ave
Manteca, CA 95337-5130
Phone (209) 825-3700
1779 W Yosemite Ave
Manteca, CA 95337-5130
Phone (209) 825-3700
1789 W Yosemite Ave
Manteca, CA 95337-5130
Phone (209) 825-3700
7373 W Lane
Stockton, CA 95210-3377
Phone (209) 476-2000
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.07 of 100
- Quality
- 79.77
- Promoting interoperability
- 88.77
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maimonides Medical Center Maimonides Primary Care FPP | Internal Medicine | Current | Accepting new patients |
| Maimonides Medical Center | Current | Accepting new patients | |
| North Shore-Lij Medical PC | Internal Medicine | Current | Accepting new patients |
| Maimonides Faculty Practice Plan | Internal Medicine | Current | Accepting new patients |
Locations
4508 16th Ave
Brooklyn, NY 11204
Phone (718) 972-8018
1250 57th St
Brooklyn, NY 11219
Phone (718) 283-5700
4802 10th Ave
Brooklyn, NY 11219
Phone (718) 283-8724
101 Saint Andrews Ln
Glen Cove, NY 11542
Phone (516) 674-7300
300 Community Dr
Plandome, NY 11030
Interoperability endpoints
- kelashkumar@mai.allscriptsdirect.net
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- Santa Clara, CA
- NPI 1073606299
-
- Internal Medicine Physician
- Brooklyn, NY
- NPI 1053344846
-
- Internal Medicine Physician
- Brooklyn, NY
- NPI 1013968593
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1093777492
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1499817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721606400000",
"number": "1366964249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 AVALON SQ # 1305",
"city": "GLEN COVE",
"state": "NY",
"postal_code": "115422877",
"telephone_number": "347-915-8761"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 SAINT ANDREWS LN",
"city": "GLEN COVE",
"state": "NY",
"postal_code": "115422254",
"telephone_number": "516-674-7300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KUMAR",
"first_name": "KELASH",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-07-12",
"last_updated": "2024-07-22",
"certification_date": "2024-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "305728",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glen Cove, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.