Individual provider Active NPI

Kamau Bandele Kokayi, MD

  • General Practice Physician
  • Brooklyn, NY
National Provider Identifier
1659585388
Registry record updated Jul 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
155241 Issued in NY
Practice address
41 Eastern Pkwy Ste 1B
Brooklyn, NY 11238
Phone
(718) 622-2042
Fax
(347) 342-3962
NPI assigned
May 10, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 155241 NY Primary

Addresses

Primary practice location

41 Eastern Pkwy Ste 1B
Brooklyn, NY 11238

Mailing address

448 W 57TH St
New York, NY 10019-3055
Phone (212) 792-6010

Other practice location 1

2428 Santa Monica Blvd Ste 308
Santa Monica, CA 90404-2046
Phone (310) 453-8393

Other practice location 2

3030 Sawtelle Blvd
Los Angeles, CA 90066-1408
Phone (310) 390-9018

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Mar 7, 2018 through Mar 7, 2028

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Multidimensional Healing Collective LLC Current Accepting new patients
Lev Grinman MD 2 PC Current Accepting new patients
Health Atlast Long Beach PastSince Mar 12, 2018 Accepting new patients
Dr. Moore and Associates Primary Care Medical Doctors, PLLC Past Accepting new patients
Patients Medical P.C. Past Accepting new patients
Health Atlast West la Inc Past Accepting new patients
Patients Surgical, Inc. Past Accepting new patients

Locations

3030 Sawtelle Blvd
Los Angeles, CA 90066
Phone (310) 390-9018

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531785600000",
    "number": "1659585388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "448 W 57TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100193055",
            "telephone_number": "212-792-6010",
            "fax_number": "212-792-6020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 EASTERN PKWY STE 1B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11238",
            "telephone_number": "718-622-2042",
            "fax_number": "347-342-3962"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2428 Santa Monica Blvd Ste 308",
            "address_purpose": "LOCATION",
            "city": "Santa Monica",
            "state": "CA",
            "postal_code": "904042046",
            "country_code": "US",
            "telephone_number": "310-453-8393",
            "fax_number": "310-453-8696",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3030 Sawtelle Blvd",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900661408",
            "country_code": "US",
            "telephone_number": "310-390-9018",
            "fax_number": "310-390-0868",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOKAYI",
        "first_name": "KAMAU",
        "middle_name": "BANDELE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-10",
        "last_updated": "2018-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NY",
            "license": "155241",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.