Individual provider Active NPI

Kent Bin Cao, M.D.

  • Internal Medicine Physician
  • Flushing, NY
National Provider Identifier
1467536755
Registry record updated Nov 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
214443 Issued in NY
Practice address
136-21 Roosevelt Ave.
Suite 205
Flushing, NY 11354-5507
Phone
(718) 353-2536
Fax
(718) 359-9247
NPI assigned
Oct 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 1, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 214443 NY Primary

Addresses

Primary practice location

136-21 Roosevelt Ave.
Suite 205
Flushing, NY 11354-5507

Mailing address

136-21 Roosevelt Ave.
Suite 205
Flushing, NY 11354-5507
Phone (718) 353-2536

Other identifiers 5

IdentifierTypeStateIssuer
214443OtherNYHIP
835281OtherNYEMPIRE BC/BS
P2004133OtherNYOXFORD
2596859OtherNYGHI
02009103MedicaidNY

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
I20111119000001 NY Practitioner - Internal Medicine 2567636087 Practice locations: Flushing, NY

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

13621 Roosevelt Ave
Flushing, NY 11354-5507
Phone (718) 353-2536

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Flushing Hospital & Medical Center Past Accepting new patients
Cao & Chen LLP Internal Medicine Past Accepting new patients

Networks

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

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DAJGAA/Endpoint/DAJGAA
  • FHIR API: https://fhir4.healow.com/fhir/r4/DAJGAA

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320105600000",
    "number": "1467536755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136-21 ROOSEVELT AVE.",
            "address_2": "SUITE 205",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545507",
            "telephone_number": "718-353-2536",
            "fax_number": "718-359-9247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136-21 ROOSEVELT AVE.",
            "address_2": "SUITE 205",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113545507",
            "telephone_number": "718-353-2536",
            "fax_number": "718-359-9247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAO",
        "first_name": "KENT",
        "middle_name": "BIN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2011-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "214443",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIP",
            "identifier": "214443",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BC/BS",
            "identifier": "835281",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P2004133",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "2596859",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02009103",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

Verify at the official NPI Registry.