Individual provider Active NPI

Mansi Kallem, M.D.

  • Medical Oncology Physician
  • Johnson City, NY
National Provider Identifier
1396178703
Registry record updated May 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
285025 Issued in NY
Practice address
30 Harrison St Ste 100
Johnson City, NY 13790-3100
Phone
(607) 763-6850
NPI assigned
Aug 21, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X
Medical Oncology Physician 207RX0202X 285025 NY Primary

Addresses

Primary practice location

30 Harrison St Ste 100
Johnson City, NY 13790-3100

Mailing address

33 Lewis Road
FL 2
Binghamton, NY 13905
Phone (607) 770-0025

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
I20160803001529 NY Practitioner - Hematology/OncologyPractitioner - Internal MedicinePractitioner - Hospitalist 2466750179 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Broome Oncology LLCGroup PAC ID 1658284849, 6 clinicians

Practice addresses (Care Compare)

169 Riveride Dr
Binghamton, NY 13905-4246
Phone (607) 798-5307

30 Harrison St
Suite 100
Johnson City, NY 13790-3100
Phone (607) 763-6850

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
285025NYMDMedical Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
United Health Services Hospitals, Inc. CurrentSince Feb 2, 2025 Accepting new patients
Cogent Medical Care PC CurrentSince Jul 1, 2016 Accepting new patients
Broome Oncology LLC CurrentSince Feb 15, 2025 Accepting new patients
United Medical Associates PC Past Accepting new patients

Locations

169 Riverside Dr
Binghamton, NY 13905
Phone (607) 798-5111

33 Lewis Rd
Fl 2
Binghamton, NY 13905
Phone (607) 729-8156

565 Abbott Rd
Rm 8632
Buffalo, NY 14220
Phone (607) 798-5671

30 Harrison St
Ste 100
Johnson City, NY 13790
Phone (607) 763-6850

Interoperability endpoints

  • Direct secure messaging: mkallem46000@direct-guthrie.org
  • Direct secure messaging: drkallem@broomeoncology.medentdirect.com

Organizations & group practices 4

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 4

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": "1377043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746403200000",
    "number": "1396178703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 LEWIS ROAD",
            "address_2": "FL 2",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "13905",
            "telephone_number": "607-770-0025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 HARRISON ST STE 100",
            "city": "JOHNSON CITY",
            "state": "NY",
            "postal_code": "137903100",
            "telephone_number": "607-763-6850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALLEM",
        "first_name": "MANSI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-08-21",
        "last_updated": "2025-05-05",
        "certification_date": "2025-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "NY",
            "license": "285025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnson City, NY

Sources for this page

Verify at the official NPI Registry.