Active NPI
Kamal Nayyar, M.D.
- Nephrology Physician
- Mineola, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 287713
- Practice address
- 200 Old Country Rd
Mineola, NY 11501-4235 - Phone
- (516) 663-2171
- NPI assigned
- May 2, 2013
- Last updated
- Apr 7, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| 76596 | GA | MD | Internal Medicine Physician |
| 287713 | NY | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A.P. New York Comprehensive Medical Care PC | Internal Medicine | Current | Accepting new patients |
| Pilip Medical Care | Internal Medicine | Past | 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.
| Facility | Type | Role | Since |
|---|---|---|---|
| Nassau University Medical Ctr | 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.
-
dba Nassau Univer Med Center - Rehab
- Rehabilitation Hospital Unit
- East Meadow, NY
- NPI 1891712485
Corporate Officer
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.
-
- Internal Medicine Physician
- Smithtown, NY
- NPI 1992249346
-
- Internal Medicine Physician
- Bohemia, NY
- NPI 1063064632
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.