Active NPI
Kent Bin Cao, M.D.
- Internal Medicine Physician
- Flushing, NY
National Provider Identifier
1467536755
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 214443
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 214443 | Other | NY | HIP |
| 835281 | Other | NY | EMPIRE BC/BS |
| P2004133 | Other | NY | OXFORD |
| 2596859 | Other | NY | GHI |
| 02009103 | Medicaid | NY |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New 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
- https://fhir4.healow.com/fhir/r4/DAJGAA/Endpoint/DAJGAA
- 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.
-
- Internal Medicine Physician
- Flushing, NY
- NPI 1295894624
-
- General Acute Care Hospital
- Flushing, NY
- NPI 1548217763
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.