Kumail Merchant

Primary specialty

Pediatric Nephrology PhysicianTaxonomy code 2080P0210X

License

294991 Issued in NY

Practice address

173 Mineola Blvd Ste 101
Mineola, NY 11501-2529

Phone

(516) 663-9494

Fax

(516) 663-2835

NPI assigned

Mar 26, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

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

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.

• New York University

  • Cardiovascular Disease Physician
  • Boynton Beach, FL
  • NPI 1285826438

  NY

  Medicare reassignment NPD
• New York University

  • Physical Medicine & Rehabilitation Physician
  • Boynton Beach, FL
  • NPI 1104787613
  NPD

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

{
    "created_epoch": "1427328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682380800000",
    "number": "1689068637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "173 MINEOLA BLVD STE 101",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115012529",
            "telephone_number": "516-663-9494",
            "fax_number": "516-663-2835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "173 MINEOLA BLVD STE 101",
            "city": "MINEOLA",
            "state": "NY",
            "postal_code": "115012529",
            "telephone_number": "516-663-9494",
            "fax_number": "516-663-2835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERCHANT",
        "first_name": "KUMAIL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-26",
        "last_updated": "2023-04-25",
        "certification_date": "2023-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0210X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Nephrology",
            "state": "NY",
            "license": "294991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kmerchant456931@nyumc.direct-ci.com",
            "affiliation": "N",
            "address_1": "173 Mineola Blvd Ste 101",
            "city": "Mineola",
            "state": "NY",
            "country_code": "US",
            "postal_code": "115012529",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Eytan Mendelow, DO
• Kerry Mendelsohn, MD
• Maria Meneilly, RPA-C
• Alex V. Meneshian, D.D.S., M.D.
• Derya Mercan, NP
• Matthew Merola, MD
• Christina Mertelsmann-Voss, M.D.
• Juliet Ann Meskill
• Andrew Messenger, M.D.
• Stacy F Messmer, LCSW

• Pediatric Nephrology Physician in Mineola, NY
• Providers in Mineola, NY by specialty
• Pediatric Nephrology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.