Active NPI
Kamau Bandele Kokayi, MD
- General Practice Physician
- Brooklyn, NY
National Provider Identifier
1659585388
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 155241
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
- 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Multidimensional Healing Collective LLC | Current | Accepting new patients | |
| Lev Grinman MD 2 PC | Current | Accepting new patients | |
| Health Atlast Long Beach | Past | 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.
-
- Health & Wellness Coach
- Charlotte, NC
- NPI 1497577373
-
- Internal Medicine Physician
- Moorpark, CA
- NPI 1871357996
-
- Family Medicine Physician
- Brooklyn, NY
- NPI 1962788406
-
- Internal Medicine Physician
- New York, NY
- NPI 1598006751
-
- Ambulatory Surgical Clinic/Center
- New York, NY
- NPI 1760734024
-
- Physical Rehabilitation Occupational Therapist
- Long Beach, CA
- NPI 1144716663
-
- Physical Medicine & Rehabilitation Physician
- Los Angeles, CA
- NPI 1376968610
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.