Individual provider Active NPI

Nicholas Rummo, MD

  • Sleep Medicine (Internal Medicine) Physician
  • Mount Kisco, NY
National Provider Identifier
1902890163
Registry record updated Jun 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Internal Medicine) PhysicianTaxonomy code 207RS0012X
License
109153 Issued in NY
Practice address
400 E Main St
Northern Westchester Hospital,Center for Sleep Medicine
Mount Kisco, NY 10549-3417
Phone
(914) 666-1827
Fax
(914) 666-1788
NPI assigned
Sep 2, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2008

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 109153 NY
Pulmonary Disease Physician 207RP1001X 109153 NY
Sleep Medicine (Internal Medicine) Physician 207RS0012X 109153 NY Primary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 109153 NY

Addresses

Primary practice location

400 E Main St
Northern Westchester Hospital,Center for Sleep Medicine
Mount Kisco, NY 10549-3417

Mailing address

400 E Main St
Northern Westchester Hospital,Center for Sleep Medicine
Mount Kisco, NY 10549-3417
Phone (914) 666-1827

Other identifiers 8

IdentifierTypeStateIssuer
2999285OtherGHI PPO PIN#
4147575OtherMVP PIN#
4C6017OtherHEALTHNET PIN#
06105000011OtherFIDELIS CARE PIN#
000000073280OtherGHI HMO PIN#
10048228OtherCDPHP PIN#
296571OtherEMPIRE BC PIN #
P1874163OtherOXFORD PIN#

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100521000011 NY Practitioner - Pulmonary Disease 5294864781 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
109153NYMDSleep Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Westchester Hospital Association Current Accepting new patients
Northern Westchester Hospital Association CurrentSince Jul 1, 1997 Accepting new patients
Northern Westchester Hospital Association Internal Medicine CurrentSince Jul 1, 1997 Accepting new patients

Locations

480 Bedford Rd
Chappaqua, NY 10514
Phone (866) 997-5781

400 E Main St
Mount Kisco, NY 10549
Phone (914) 666-1200

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.

NPI Registry JSON

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

{
    "created_epoch": "1125619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212624000000",
    "number": "1902890163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 E MAIN ST",
            "address_2": "NORTHERN WESTCHESTER HOSPITAL,CENTER FOR SLEEP MEDICINE",
            "city": "MOUNT KISCO",
            "state": "NY",
            "postal_code": "105493417",
            "telephone_number": "914-666-1827",
            "fax_number": "914-666-1788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E MAIN ST",
            "address_2": "NORTHERN WESTCHESTER HOSPITAL,CENTER FOR SLEEP MEDICINE",
            "city": "MOUNT KISCO",
            "state": "NY",
            "postal_code": "105493417",
            "telephone_number": "914-666-1827",
            "fax_number": "914-666-1788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUMMO",
        "first_name": "NICHOLAS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-02",
        "last_updated": "2008-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "109153",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NY",
            "license": "109153",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "NY",
            "license": "109153",
            "primary": true
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NY",
            "license": "109153",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI PPO PIN#",
            "identifier": "2999285",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP PIN#",
            "identifier": "4147575",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET PIN#",
            "identifier": "4C6017",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIDELIS CARE PIN#",
            "identifier": "06105000011",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI HMO PIN#",
            "identifier": "000000073280",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDPHP PIN#",
            "identifier": "10048228",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BC PIN #",
            "identifier": "296571",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD PIN#",
            "identifier": "P1874163",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Kisco, NY

Sources for this page

Verify at the official NPI Registry.