Individual provider Active NPI

Manoj Kantu, M.D.

  • Specialist
  • Brooklyn, NY
National Provider Identifier
1679617971
Registry record updated Oct 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
208745 Issued in NY
Practice address
2204 Voorhies Ave
Brooklyn, NY 11235-2820
Phone
(718) 646-2500
Fax
(718) 648-4583
NPI assigned
Feb 19, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 208745 NY Primary

Addresses

Primary practice location

2204 Voorhies Ave
Brooklyn, NY 11235-2820

Mailing address

2204 Voorhies Ave
Brooklyn, NY 11235-2820
Phone (718) 646-2500

Other identifiers 16

IdentifierTypeStateIssuer
159164OtherNYELDERPLAN
001971490OtherNYUHC
20874501OtherNYNEIGHBORHOOD
294498OtherNYWELLCARE
328990101OtherNYHEALTHPLUS
00Z6110OtherNYBCBS
01951000MedicaidNY
113515454OtherNY1199
2227732OtherNYUSHC
7058737OtherNYAETNAPPO
P2010895OtherNYOXFORD
010232901OtherNYAMERICHOICE
010232902OtherNYBAYRIDGEAMERICHOICE
9602037OtherNYGHIPPO
3877816OtherNYAETNAHMO
3C2434OtherNYHEALTHNET

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
I20050105000957 NY Practitioner - Otolaryngology 3072561109 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Warren Alpert Medical School of Brown University, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ny Center for Ear Nose Throat Sinus Allergy LLPGroup PAC ID 3072543461, 2 clinicians

Practice addresses (Care Compare)

2204 Voorhies Ave
Brooklyn, NY 11235-2820
Phone (718) 646-2500

9015 5TH Ave
Brooklyn, NY 11209-5932
Phone (718) 646-3776

Hospital & facility affiliations

  • Mount Sinai Beth Israel Hospital, New York, NY, CCN 330169

Merit-based Incentive Payment System (MIPS)

Final score
79.33 of 100Reported as group
Quality
48.66
Improvement activities
40

National Provider Directory

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

Networks

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

Interoperability endpoints

  • Direct secure messaging: mkantu@kantu.mdlogic.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 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": "1171843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349136000000",
    "number": "1679617971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2204 VOORHIES AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112352820",
            "telephone_number": "718-646-2500",
            "fax_number": "718-648-4583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2204 VOORHIES AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112352820",
            "telephone_number": "718-646-2500",
            "fax_number": "718-648-4583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANTU",
        "first_name": "MANOJ",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-19",
        "last_updated": "2012-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "208745",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ELDERPLAN",
            "identifier": "159164",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC",
            "identifier": "001971490",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD",
            "identifier": "20874501",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "294498",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHPLUS",
            "identifier": "328990101",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "00Z6110",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01951000",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "1199",
            "identifier": "113515454",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "USHC",
            "identifier": "2227732",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNAPPO",
            "identifier": "7058737",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P2010895",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE",
            "identifier": "010232901",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BAYRIDGEAMERICHOICE",
            "identifier": "010232902",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHIPPO",
            "identifier": "9602037",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNAHMO",
            "identifier": "3877816",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "3C2434",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.