Pankaj Kishore, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

231664 Issued in NY

Practice address

413 Kenwood Ave
Delmar, NY 12054-3231

Phone

(518) 462-0253

Fax

(518) 462-0262

NPI assigned

Aug 25, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 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

State licenses

Practice roles

Locations

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.

• Albany Medical College

  • Urgent Care Clinic/Center
  • Albany, NY
  • NPI 1386038925
  NPD
• Albany Medical College

  • Psychiatry Physician
  • Albany, NY
  • NPI 1447284328
  NPD
• Saratoga Psychiatric and Associated Services PC

  • Psychiatry Physician
  • Saratoga Springs, NY
  • NPI 1245414168
  NPD (past)

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

{
    "created_epoch": "1124928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435104000000",
    "number": "1770576753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "413 KENWOOD AVE",
            "city": "DELMAR",
            "state": "NY",
            "postal_code": "120543231",
            "telephone_number": "518-462-0253",
            "fax_number": "518-462-0262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "413 KENWOOD AVE",
            "city": "DELMAR",
            "state": "NY",
            "postal_code": "120543231",
            "telephone_number": "518-462-0253",
            "fax_number": "518-462-0262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KISHORE",
        "first_name": "PANKAJ",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-25",
        "last_updated": "2015-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "231664",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02565800",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessica A Karn, SLP
• Catherine Bonham Keating, M.D.
• Kelly'S Pharmacy Inc.
• Kenwood Manor Inc
• Kimberley Mathias, LCSW
• Jason Benjamen Kitchen
• Stephanie Kitto
• Julia Irene Klein, RDN
• Bonnie Jean Koonsman, LCSW
• Kosmer Mental Health Counseling PLLC

• Psychiatry Physician in Delmar, NY
• Providers in Delmar, NY by specialty
• Psychiatry Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2015; 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.