NPIMap

Individual provider Active NPI

Kishore Kumar Mani, MD

  • Internal Medicine Physician
  • Utica, NY
National Provider Identifier
1568083913
Registry record updated May 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
334364 Issued in NY
Practice address
125 Business Park Dr Ste 150
Utica, NY 13502-6322
Phone
(157) 353-5413
Fax
(315) 724-3255
NPI assigned
Apr 27, 2020
Last updated
May 7, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2025

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 334364 NY Primary

Addresses

Primary practice location

125 Business Park Dr Ste 150
Utica, NY 13502-6322

Mailing address

3440 N Broad St BLDG Ste 100
Philadelphia, PA 19140-5104

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250625003134 NY Practitioner - Nephrology 1254790710 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mohawk Valley Nephrology Associates LLPGroup PAC ID 8921074717, 7 clinicians

Practice addresses (Care Compare)

125 Business Park Dr
Suite 150
Utica, NY 13502-6322
Phone (315) 735-3541

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mohawk Valley Nephrology Associates, LLP Internal Medicine CurrentSince Aug 15, 2025 Accepting new patients

Locations

125 Business Park Dr
Ste 150
Utica, NY 13502
Phone (315) 235-2540

Organizations & group practices 1

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 10

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": "1587945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746576000000",
    "number": "1568083913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3440 N BROAD ST BLDG STE 100",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191405104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 BUSINESS PARK DR STE 150",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135026322",
            "telephone_number": "157-353-5413",
            "fax_number": "315-724-3255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANI",
        "first_name": "KISHORE KUMAR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-27",
        "last_updated": "2025-05-07",
        "certification_date": "2025-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "334364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Utica, NY

Sources for this page

Verify at the official NPI Registry.