Active NPI
Kevin Bradford Elmore, MD
- Neurology Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 299220
- Practice address
- 1275 York Ave
New York, NY 10065-6007 - Phone
- (212) 639-2000
- NPI assigned
- Apr 23, 2015
- 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 |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 299220 | NY | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | PA |
Addresses
Primary practice location
1275 York Ave
New York, NY 10065-6007
Mailing address
1275 York Ave Ofc 716C
New York, NY 10065-6007
Phone (212) 639-2000
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
- Neurology
- Education
- University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
5 E 98TH St 7TH FL
Doctor'S Office Neurology
New York, NY 10029-6501
Phone (212) 241-4572
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Past | Accepting new patients |
Locations
1275 York Ave
Ofc 716C
New York, NY 10065
5 E 98th St
Fl 5
New York, NY 10029
Phone (212) 241-8234
5 E 98th St
Fl 7
New York, NY 10029
Phone (212) 241-0002
1275 York Ave
New York, NY 10065
Phone (212) 639-3813
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
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 and National Provider Directory roles.
-
- Neurological Surgery Physician
- Newyork, NY
- NPI 1558627844
-
- Eyewear Supplier
- New York, NY
- NPI 1760227466
-
- Obstetrics & Gynecology Physician
- New York, NY
- NPI 1124392212
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Long Island City, NY
- NPI 1245248939
-
- Rehabilitation Hospital
- New York, NY
- NPI 1669440327
-
- General Acute Care Hospital
- New York, NY
- NPI 1932103413
-
- General Acute Care Hospital
- New York, NY
- NPI 1225295512
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620000000000",
"number": "1841687266",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1275 YORK AVE OFC 716C",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100656007",
"telephone_number": "212-639-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1275 YORK AVE",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100656007",
"telephone_number": "212-639-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ELMORE",
"first_name": "KEVIN",
"middle_name": "BRADFORD",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-04-23",
"last_updated": "2021-05-03",
"certification_date": "2021-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NY",
"license": "299220",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "PA",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2021; 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.