Active NPI
Kay Odashima, M.D.
- Emergency Medicine Physician
- Brooklyn, NY
National Provider Identifier
1801185657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 274498
- Practice address
- 4802 10TH Ave
Maimonides Medical Center
Brooklyn, NY 11219-2916 - Phone
- (718) 283-6000
- NPI assigned
- Apr 1, 2011
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 274498 | NY | Primary |
Addresses
Primary practice location
4802 10TH Ave
Maimonides Medical Center
Brooklyn, NY 11219-2916
Mailing address
391 Beacon St Apt 1
Boston, MA 02116-1026
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles (3 of 7)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Maimonides Medical Center | Current | Accepting new patients | |
| Kingsbrook Medical Associates PC | Emergency Medicine | Current | Accepting new patients |
| Kingsbrook Medical Associates, PC | Current | Accepting new patients |
Locations
585 Schenectady Ave
Brooklyn, NY 11203
Phone (718) 604-0461
4802 10th Ave
Brooklyn, NY 11219
Phone (718) 283-8724
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- kayodashima@mai.allscriptsdirect.net
Organizations & group practices 4
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.
-
- Emergency Medicine Physician
- Brooklyn, NY
- NPI 1982708202
NY
-
- Emergency Medicine Physician
- Brooklyn, NY
- NPI 1770844797
Emergency Medicine
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1093777492
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301616000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657584000000",
"number": "1801185657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "391 BEACON ST APT 1",
"city": "BOSTON",
"state": "MA",
"postal_code": "021161026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4802 10TH AVE",
"address_2": "MAIMONIDES MEDICAL CENTER",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112192916",
"telephone_number": "718-283-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ODASHIMA",
"first_name": "KAY",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-04-01",
"last_updated": "2022-07-12",
"certification_date": "2022-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NY",
"license": "274498",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2022; 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.