Louis Kiwala, PA-C, AP,L.AC.,DNBAO
Individual provider Active NPI Physician Assistant · Brooklyn, NY
NPI 1407060106 · NPPES record last updated Nov 3, 2014
Key facts
- NPI
- 1407060106
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 014653 (NY)
- Practice address
- 157 Remsen Street
Brooklyn, NY 11201-4321 - Phone
- (718) 260-1000
- Fax
- (718) 260-0072
- NPI assigned
- May 10, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 8
Medicare Care Compare profile
- Specialty
- Physician Assistant
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Parcare Community Health Network Inc
Practice addresses (Care Compare)
445 Park Ave
Brooklyn, NY 11205-2735
Phone (718) 963-0800
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120621000626 | NY | Practitioner - Physician Assistant | 4183888274 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AP 1958 | FL | MD | Acupuncturist |
| 014653 | NY | MD | Occupational Therapist |
| 25MP00264900 | NJ | MD | Surgical Physician Assistant |
Practice roles (4 of 8)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Parcare Community Health Network Inc | Current |
Accepting new patients | |
| Maimonides Medical Center | Current | Accepting new patients | |
| Metropolitan Medical Diagnostics, PC | Past |
Accepting new patients | |
| Physiologic Chiropractic & Physical Therapy, PLLC. | Past |
Accepting new patients |
Locations
445 Park Ave
Brooklyn, NY 11205
Phone (718) 965-1320
6010 Bay Pkwy
Ste 901
Brooklyn, NY 11204
Phone (718) 238-2100
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
Interoperability endpoints
- louiskiwala@mai.allscriptsdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 000765 | NY | |
| Acupuncturist | 171100000X | AP 1958 | FL | |
| Physician Assistant | 363A00000X | 014653 | NY | Yes |
| Surgical Physician Assistant | 363AS0400X | 25MP00264900 | NJ |
Addresses
Primary practice location
157 Remsen Street
Brooklyn, NY 11201-4321
Mailing address
281 Broadway
2ND Floor
New York, NY 10007-1831
Phone (646) 596-7386
Other providers in Brooklyn, NY
- Baila Kivelevitz
- Chaya Mushka Kivman
- Ben Zion D Kiwak
- Brenda Kiwak
- Menachem Kiwak
- Kiwitz Car Service Inc.
- Aylin Kiyat
- Clarrissa Kiyat
- Hiroshi Kiyota
- Jayasree Kizhakkepat Pisharam
All providers in Brooklyn, NY · Physician Assistant in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 3, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.