Individual provider Active NPI

Kishwer S Nehal, MD

  • Dermatology Physician
  • New York, NY
National Provider Identifier
1639140601
Registry record updated Jul 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
201432 Issued in NY
Practice address
160 E 53Rd St FL 2
New York, NY 10022-5243
Phone
(212) 610-0782
NPI assigned
Jan 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2007

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 201432 NY Primary
MOHS-Micrographic Surgery Physician 207ND0101X 201432 NY
Procedural Dermatology Physician 207NS0135X 201432 NY

Addresses

Primary practice location

160 E 53Rd St FL 2
New York, NY 10022-5243

Mailing address

160 E 53Rd St FL 2
New York, NY 10022-5243
Phone (212) 610-0782

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
I20110211000174 NY Practitioner - Micrographic Dermatologic Surgery (MDS)Practitioner - Dermatology 9133309941 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Micrographic Dermatologic Surgery (MDS)Also: Dermatology
Education
Boston University School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Memorial Dermatology GroupGroup PAC ID 1557250818, 19 clinicians

Practice addresses (Care Compare)

1275 York Ave
New York, NY 10065-6007
Phone (212) 639-2000

530 E 74TH St
New York, NY 10021-3402
Phone (646) 608-3623

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.77 of 100Reported as group
Quality
84.67
Improvement activities
40
Cost
66.9

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision53
Removal of skin lesions1-10
Removal of skin cancer384
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy14

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
201432NYMDProcedural Dermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Dermatology Group Dermatology CurrentSince Jan 1, 1994 Accepting new patients

Locations

633 3rd Ave
#232
New York, NY 10017
Phone (212) 639-7203

160 E 53rd St
#2
New York, NY 10022
Phone (212) 610-0782

633 3rd Ave
Lbby 3
New York, NY 10017
Phone (848) 225-6000

1275 York Ave
New York, NY 10065
Phone (212) 639-3813

Networks

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

Interoperability endpoints

  • Direct secure messaging: knehal39420@mskcc.direct-ci.com

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 and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185753600000",
    "number": "1639140601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 E 53RD ST FL 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100225243",
            "telephone_number": "212-610-0782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 E 53RD ST FL 2",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100225243",
            "telephone_number": "212-610-0782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEHAL",
        "first_name": "KISHWER",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-30",
        "last_updated": "2007-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "201432",
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "NY",
            "license": "201432",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "NY",
            "license": "201432",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.