Individual provider Active NPI

Gautam Kamthan

  • Ophthalmology Physician
  • New York, NY
National Provider Identifier
1376868810
Registry record updated Jul 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
268995 Issued in NY
Practice address
17 E 102ND St FL 8
Mount Sinai Medical Center
New York, NY 10029-5204
Phone
(212) 241-7676
NPI assigned
Mar 27, 2010
Last updated
Jul 31, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 268995 NY Primary

Addresses

Primary practice location

17 E 102ND St FL 8
Mount Sinai Medical Center
New York, NY 10029-5204

Mailing address

17 E 102ND St FL 8
Mount Sinai Medical Center
New York, NY 10029-5204
Phone (212) 241-7676

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 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
I20140731000899 NY Practitioner - Ophthalmology 3173749942 Reassigns benefits to 2 organizations
I20180125001566 NJ Practitioner - Ophthalmology 3173749942 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Icahn School of Medicine at Mount Sinai, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
NJ Eye and Ear, LLCGroup PAC ID 6002174737, 28 clinicians

Practice addresses (Care Compare)

1 Gustave L Levy PL
New York, NY 10029-6504
Phone (212) 241-8118

1 Gustave Levy Place
New York, NY 10029-6500
Phone 212241811848118

23 W Palisade Ave
Englewood, NJ 07631-2705
Phone (201) 408-4441

310 E 14TH St
Opthalmology Department of Mount Sinai
New York, NY 10003-4201
Phone (212) 241-0939

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery27

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Gautam Kamthan MD PC Ophthalmology Current Accepting new patients
NJ Eye and Ear LLC Ophthalmology CurrentSince Jan 1, 2018 Accepting new patients
Icahn School of Medicine at Mount Sinai Ophthalmology CurrentSince Jul 1, 2014 Accepting new patients
Icahn School of Medicine at Mount Sinai Ophthalmology CurrentSince Jan 1, 2014 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Jan 1, 2014 Accepting new patients
Icahn School of Medicine at Mount Sinai Ophthalmology CurrentSince Jul 1, 2014 Accepting new patients
Clifton Eye Care LLC Ophthalmology Past Accepting new patients

Locations

1016 Main Ave
Clifton, NJ 07011
Phone (973) 546-5700

1016 Main Ave
Unit 1
Clifton, NJ 07011
Phone (973) 546-5700

23 W Palisade Ave
Englewood, NJ 07631
Phone (201) 408-4441

7901 Broadway
Rm A119
Elmhurst, NY 11373
Phone (718) 334-4951

17 E 102nd St
Fl 8
New York, NY 10029
Phone (212) 241-0939

218 2nd Ave
New York, NY 10003
Phone (212) 979-4000

310 E 14th St
New York, NY 10003
Phone (212) 979-4000

Networks

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

Interoperability endpoints

  • Direct secure messaging: drkamthan@njeyeandear.direct.eyemdemr.com
  • Direct secure messaging: gkamthan83244@nychhc.direct-ci.com

Organizations & group practices 7

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1269648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406764800000",
    "number": "1376868810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 E 102ND ST FL 8",
            "address_2": "MOUNT SINAI MEDICAL CENTER",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100295204",
            "telephone_number": "212-241-7676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 E 102ND ST FL 8",
            "address_2": "MOUNT SINAI MEDICAL CENTER",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100295204",
            "telephone_number": "212-241-7676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMTHAN",
        "first_name": "GAUTAM",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-27",
        "last_updated": "2014-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "268995",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.