Individual provider Active NPI

Kichiemon Asoma, MD

  • Ophthalmology Physician
  • New York, NY
National Provider Identifier
1457548497
Registry record updated Jan 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
242414 Issued in NY
Practice address
8 W 38TH St RM 201
New York, NY 10018
Phone
(212) 500-1148
NPI assigned
Oct 3, 2007
Last updated
Jan 3, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X N2925 TX
Ophthalmology Physician 207W00000X 242414 NY Primary

Addresses

Primary practice location

8 W 38TH St RM 201
New York, NY 10018

Mailing address

8 W 38TH St RM 201
New York, NY 10018-6271
Phone (212) 500-1148

Other practice location 1

450 Clarkson Ave
Department of Ophthalmology
Brooklyn, NY 11203-2012
Phone (718) 245-5460

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
I20110204000287 NY Practitioner - Ophthalmology 6002969854 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
State University of New York Downstate Medical Center, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physician Affiliate Group of New York PCGroup PAC ID 4688098833, 1,222 clinicians
Apple Ophthalmology, PLLCGroup PAC ID 6709143472, 3 clinicians

Practice addresses (Care Compare)

2601 Ocean Pkwy
Brooklyn, NY 11235-7745
Phone (718) 616-5356

8 W 38TH St
Suite 201
New York, NY 10018-6271
Phone (212) 500-1148

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery75

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Affiliate Group of New York PC CurrentSince Mar 1, 2024 Accepting new patients
Apple Ophthalmology PLLC Ophthalmology CurrentSince Dec 1, 2017 Accepting new patients
Maimonides Medical Center Current Accepting new patients
Coney Island Medical Practice Plan, P.C. CurrentSince Apr 12, 2013 Accepting new patients
University Physicians of Brooklyn, Inc. Ophthalmology CurrentSince Jan 1, 2011 Accepting new patients
University Physicians of Brooklyn, Inc. CurrentSince Jan 1, 2011 Accepting new patients

Locations

150 55th St
Brooklyn, NY 11220
Phone (718) 630-7123

150 55th St
Rm 3618
Brooklyn, NY 11220
Phone (718) 630-7477

2601 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 616-5354

450 Clarkson Ave
Brooklyn, NY 11203
Phone (718) 270-1603

506 Malcolm X Blvd
New York, NY 10037
Phone (212) 939-1000

8 W 38th St
Rm 201
New York, NY 10018
Phone (212) 500-1148

Networks

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

Interoperability endpoints

  • Direct secure messaging: kasoma144501@nychhc.direct-ci.com
  • Direct secure messaging: kasoma68850@northwell.direct-ci.com
  • Direct secure messaging: kichiemonasoma@mai.allscriptsdirect.net

Organizations & group practices 6

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": "1191369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546473600000",
    "number": "1457548497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 W 38TH ST RM 201",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100186271",
            "telephone_number": "212-500-1148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 W 38TH ST RM 201",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10018",
            "telephone_number": "212-500-1148"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "450 Clarkson Ave",
            "address_2": "Department of Ophthalmology",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112032012",
            "country_code": "US",
            "telephone_number": "718-245-5460",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ASOMA",
        "first_name": "KICHIEMON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-03",
        "last_updated": "2019-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "N2925",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "242414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.