Individual provider Active NPI

Ganesh S Kamath, MD

  • Cardiovascular Disease Physician
  • West Islip, NY
National Provider Identifier
1649444340
Registry record updated Aug 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
246384 Issued in NY
Practice address
540 Union Blvd
West Islip, NY 11795-3105
Phone
(631) 669-2555
Fax
(631) 669-3051
NPI assigned
Apr 15, 2008
Last updated
Aug 25, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 246384 NY Primary

Addresses

Primary practice location

540 Union Blvd
West Islip, NY 11795-3105

Mailing address

540 Union Blvd
West Islip, NY 11795-3105
Phone (631) 669-2555

Other identifiers 1

IdentifierTypeStateIssuer
03466222MedicaidNY

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
I20120703000115 NY Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Nuclear Medicine 5496910101 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Nuclear Medicine
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiac Ekg Interpretation, P. C.Group PAC ID 2466345103, 57 clinicians
St Francis HospitalGroup PAC ID 9234101221, 96 clinicians

Practice addresses (Care Compare)

1000 Montauk Hwy
West Islip, NY 11795-4927
Phone (631) 465-6225

540 Union Blvd
West Islip, NY 11795-3105
Phone (631) 669-2255

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore-Lij Medical PC Cardiovascular Disease CurrentSince Mar 5, 2017 Accepting new patients
Advantagecare Physicians PC CurrentSince Jan 1, 2017 Accepting new patients
Advantagecare Physicians PC CurrentSince Jan 1, 2017 Accepting new patients
Cardiac Ekg Interpretation, P. C. Cardiovascular Disease CurrentSince Feb 11, 2017 Accepting new patients
St. Francis Hospital Cardiovascular Disease CurrentSince Jul 1, 2012 Accepting new patients
St. Francis Hospital Current Accepting new patients
St Francis Hospital United States Catholic Conference Past Accepting new patients

Locations

301 Montauk Hwy
Bay Shore, NY 11706
Phone (631) 630-3977

233 Nostrand Ave
Brooklyn, NY 11205
Phone (646) 680-1595

300 Community Dr
Manhasset, NY 11030

300 Bay Shore Rd
North Babylon, NY 11703
Phone (631) 586-2700

1000 Montauk Hwy
West Islip, NY 11795
Phone (516) 705-2689

540 Union Blvd
West Islip, NY 11795
Phone (631) 669-2555

972 Brush Hollow Rd
Westbury, NY 11590

Networks

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

Interoperability endpoints

  • Direct secure messaging: gkamath23700@direct-chsli.net
  • FHIR API: https://epwebapps.acpny.com/FHIRproxy/ACPNY/api/FHIR/R4

Organizations & group practices 7

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 3

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": "1208217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408924800000",
    "number": "1649444340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 UNION BLVD",
            "city": "WEST ISLIP",
            "state": "NY",
            "postal_code": "117953105",
            "telephone_number": "631-669-2555",
            "fax_number": "631-669-3051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 UNION BLVD",
            "city": "WEST ISLIP",
            "state": "NY",
            "postal_code": "117953105",
            "telephone_number": "631-669-2555",
            "fax_number": "631-669-3051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMATH",
        "first_name": "GANESH",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-15",
        "last_updated": "2014-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "246384",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03466222",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Islip, NY

Sources for this page

Verify at the official NPI Registry.