Individual provider Active NPI

Kala Sury, M.D.

  • Pulmonary Disease Physician
  • Brooklyn, NY
National Provider Identifier
1649350414
Registry record updated Aug 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
167351 Issued in NY
Practice address
270 9TH St
Brooklyn, NY 11215-3906
Phone
(718) 965-0708
Fax
(718) 965-9409
NPI assigned
Oct 16, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Internal Medicine) Physician 207RS0012X 167351 NY
Pulmonary Disease Physician 207RP1001X 167351 NY Primary

Addresses

Primary practice location

270 9TH St
Brooklyn, NY 11215-3906

Mailing address

140 Hollywood Ave
Douglaston Manor , Queens
Little Neck, NY 11363-1110
Phone (718) 965-0708

Other identifiers 4

IdentifierTypeStateIssuer
4285191OtherNYAETNA
01060017MedicaidNY
KP167OtherNYOXFORD
18171OtherNYG.H.I.

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
I20101211000098 NY Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Critical Care (Intensivists)Practitioner - Sleep Medicine 6901093327 Reassigns benefits to 5 organizations
Practice locations: Brooklyn, NY

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists), Internal Medicine, Sleep Medicine
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nassau Health Care CorporationGroup PAC ID 2961315221, 179 clinicians
Critical Care Physician of New York PCGroup PAC ID 4688825839, 43 clinicians
Wyckoff Professional Medical Services PCGroup PAC ID 6406748607, 154 clinicians

Practice addresses (Care Compare)

2201 Hempstead Tpke
East Meadow, NY 11554-1859
Phone (516) 486-6862

374 Stockholm St
Brooklyn, NY 11237-4006
Phone (718) 963-7272

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Nassau Health Care Corporation CurrentSince Oct 28, 2021 Accepting new patients
Nassau Health Care Corporation CurrentSince Oct 28, 2021 Accepting new patients
Nassau Health Care Corporation Current Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Jan 15, 2024 Accepting new patients
Maimonides Medical Center Current Accepting new patients
Critical Care Physician of New York PC Pulmonary Disease CurrentSince May 19, 2024 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Jan 15, 2024 Accepting new patients
Interfaith Professional Physician Services, P.C. CurrentSince Dec 2, 2021 Accepting new patients
Icahn School of Medicine at Mount Sinai Current Accepting new patients
Wyckoff Heights Medical Center Past Accepting new patients
Nassau Health Care Corporation Past Accepting new patients
Cobble Hill Health Center Inc Past Accepting new patients
Suny Downstate Medical Center PastSince Oct 13, 2019 Accepting new patients

Locations

1545 Atlantic Ave
Brooklyn, NY 11213
Phone (718) 613-4175

374 Stockholm St
Brooklyn, NY 11237
Phone (718) 963-6485

2201 Hempstead Tpke
Rm 2448
East Meadow, NY 11554
Phone (516) 572-1234

2201 Hempstead Tpke
East Meadow, NY 11554
Phone (516) 486-6862

7901 Broadway
Rm A119
Elmhurst, NY 11373
Phone (718) 334-3915

70 Dubois St
Fl 2
Newburgh, NY 12550
Phone (845) 561-4400

Networks

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

Interoperability endpoints

  • Direct secure messaging: kas9122@direct.nyp.org
  • Direct secure messaging: ksury1436879@nychhc.direct-ci.com
  • Direct secure messaging: ksury389550@direct.ahsys.org
  • Direct secure messaging: kalasury@mai.allscriptsdirect.net

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 7

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": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630368000000",
    "number": "1649350414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 HOLLYWOOD AVE",
            "address_2": "DOUGLASTON MANOR , QUEENS",
            "city": "LITTLE NECK",
            "state": "NY",
            "postal_code": "113631110",
            "telephone_number": "718-965-0708",
            "fax_number": "718-965-9409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "270 9TH ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112153906",
            "telephone_number": "718-965-0708",
            "fax_number": "718-965-9409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SURY",
        "first_name": "KALA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-16",
        "last_updated": "2021-08-31",
        "certification_date": "2021-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "NY",
            "license": "167351",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NY",
            "license": "167351",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4285191",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01060017",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "KP167",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "G.H.I.",
            "identifier": "18171",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.