Active NPI
Mark Nogueira, MD
- Urology Physician
- Mount Kisco, NY
National Provider Identifier
1700830668
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 239621-1
- Practice address
- 90 S Bedford Rd
Mount Kisco, NY 10549-3412 - Phone
- (914) 241-1050
- NPI assigned
- May 22, 2006
- Last updated
- Jun 3, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 239621-1 | NY | Primary |
Addresses
Primary practice location
90 S Bedford Rd
Mount Kisco, NY 10549-3412
Mailing address
90 S Bedford Rd
Mount Kisco, NY 10549-3412
Phone (914) 241-1050
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00413189 | Other | NY | RAILROAD MEDICARE |
| 02753051 | Medicaid | NY |
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
- Urology
- Education
- Icahn School of Medicine at Mount Sinai, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
90 S Bedford Rd
Mount Kisco, NY 10549-3412
Phone (914) 241-1050
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 239621-1 | NY | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metropolitan Urological Specialist PC | Urology | Past | Accepting new patients |
| Mount Kisco Medical Group | Past | Accepting new patients |
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- mnogueir@direct.health-quest.org
- mnogueira316164@northwell.direct-ci.com
Organizations & group practices 3
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.
-
dba CareMount Medical, P.C.
- Cardiovascular Disease Physician
- Mount Kisco, NY
- NPI 1982643003
-
- Urology Physician
- Fresh Meadows, NY
- NPI 1790707552
-
- Hematology (Internal Medicine) Physician
- Fishkill, NY
- NPI 1952356362
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Northern Westchester Hospital Transitional Care Unit
- Medicare Defined Swing Bed Hospital Unit
- Mount Kisco, NY
- NPI 1396178356
-
dba Northern Westchester Hospital
- General Acute Care Hospital
- Mount Kisco, NY
- NPI 1912992215
-
- General Acute Care Hospital
- Carmel, NY
- NPI 1972557379
-
- General Acute Care Hospital
- Danbury, CT
- NPI 1548293343
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148256000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464912000000",
"number": "1700830668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "90 S BEDFORD RD",
"city": "MOUNT KISCO",
"state": "NY",
"postal_code": "105493412",
"telephone_number": "914-241-1050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "90 S BEDFORD RD",
"city": "MOUNT KISCO",
"state": "NY",
"postal_code": "105493412",
"telephone_number": "914-241-1050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOGUEIRA",
"first_name": "MARK",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-22",
"last_updated": "2016-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "NY",
"license": "239621-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00413189",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02753051",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Mount Kisco, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2016; 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.
- 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.