Individual provider Active NPI

Kamel H. Ghandour, M.D.

  • Anesthesiology Physician
  • Stamford, CT
National Provider Identifier
1568401024
Registry record updated Dec 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
252468 Issued in NY
Practice address
107 Glenbrook Rd
Stamford, CT 06902-3001
Phone
(203) 658-7588
Fax
(203) 658-7588
NPI assigned
Jun 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2013

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 044176 CT
Pain Medicine Physician 208VP0000X 044176 CT
Interventional Pain Medicine Physician 208VP0014X 044176 CT
Anesthesiology Physician 207L00000X 252468 NY Primary
Pain Medicine Physician 208VP0000X 252468 NY
Interventional Pain Medicine Physician 208VP0014X 252468 NY

Addresses

Primary practice location

107 Glenbrook Rd
Stamford, CT 06902-3001

Mailing address

107 Glenbrook Rd
Stamford, CT 06902-3001
Phone (203) 658-7588

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
I20091027000454 NY Practitioner - AnesthesiologyPractitioner - Pain Management 6709899446 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Pain Management
Education
New York University Medical College - NLG, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New York Advanced Surgical Intervention Care, PLLCGroup PAC ID 6901975218, 2 clinicians

Practice addresses (Care Compare)

800 2ND Ave
FL 9
New York, NY 10017-4709
Phone (718) 794-0600

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
044176CTMDAnesthesiology Physician
252468NYMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Noam Kurtis MD PC Anesthesiology CurrentSince Jul 1, 2013 Accepting new patients
New York Spine & Sport Rehabilitation Medicine P.C. CurrentSince Jun 17, 2014 Accepting new patients
New York Advanced Surgical Intervention Care, PLLC CurrentSince Dec 13, 2012 Accepting new patients
Hazleton Anesthesia Services, P.C. Anesthesiology Past Accepting new patients
Troy Infectious Disease and Primary Care LLC Past Accepting new patients
Resource Anesthesiology Associates of CT PC Anesthesiology Past Accepting new patients
Upstate Anesthesia Services, P.C. Anesthesiology Past Accepting new patients
Bronx Anesthesia Services, PC Anesthesiology Past Accepting new patients

Locations

1250 Waters Pl
Ste 710
Bronx, NY 10461
Phone (718) 684-5727

2008 Eastchester Rd
Fl 2
Bronx, NY 10461
Phone (718) 794-0600

1041 3rd Ave
Ofc Of
New York, NY 10065
Phone (212) 362-3470

800 2nd Ave
Fl 9
New York, NY 10017
Phone (212) 539-0257

Organizations & group practices 8

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": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386806400000",
    "number": "1568401024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 GLENBROOK RD",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069023001",
            "telephone_number": "203-658-7588",
            "fax_number": "203-658-7577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 GLENBROOK RD",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069023001",
            "telephone_number": "203-658-7588",
            "fax_number": "203-658-7588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHANDOUR",
        "first_name": "KAMEL",
        "middle_name": "H.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2013-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CT",
            "license": "044176",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "CT",
            "license": "044176",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "CT",
            "license": "044176",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "252468",
            "primary": true
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NY",
            "license": "252468",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NY",
            "license": "252468",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stamford, CT

Sources for this page

Verify at the official NPI Registry.