Individual provider Active NPI

Kamal Nayyar, M.D.

  • Nephrology Physician
  • Mineola, NY
National Provider Identifier
1679918742
Registry record updated Apr 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
287713 Issued in NY
Practice address
200 Old Country Rd
Mineola, NY 11501-4235
Phone
(516) 663-2171
NPI assigned
May 2, 2013
Last updated
Apr 7, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 76596 GA
Nephrology Physician 207RN0300X 287713 NY Primary

Addresses

Primary practice location

200 Old Country Rd
Mineola, NY 11501-4235

Mailing address

732 Smithtown Byp
Ste 200
Smithtown, NY 11787-5020
Phone (516) 663-2171

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
I20190415001924 NY Practitioner - Internal MedicinePractitioner - Nephrology 4284936238 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Nephrology
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ap New York Comprehensive Medical Care PCGroup PAC ID 5991086068, 5 clinicians

Practice addresses (Care Compare)

1690 Washington Ave
Bohemia, NY 11716-1425
Phone (631) 656-9040

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
76596GAMDInternal Medicine Physician
287713NYMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
A.P. New York Comprehensive Medical Care PC Internal Medicine CurrentSince Mar 9, 2019 Accepting new patients
Pilip Medical Care Internal Medicine PastSince Mar 9, 2019 Accepting new patients

Locations

1690 Washington Ave
Bohemia, NY 11716

732 Smithtown Byp
Ste 200
Smithtown, NY 11787
Phone (347) 451-0018

Networks

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

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Nassau University Medical CtrEast Meadow, NY, CCN 33T027001 Hospital Corporate Officer May 15, 2022

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1367452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554595200000",
    "number": "1679918742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "732 SMITHTOWN BYP",
            "address_2": "STE 200",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117875020",
            "telephone_number": "516-663-2171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 OLD COUNTRY RD",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115014235",
            "telephone_number": "516-663-2171"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAYYAR",
        "first_name": "KAMAL",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-02",
        "last_updated": "2019-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "76596",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "287713",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mineola, NY

Sources for this page

Verify at the official NPI Registry.