Individual provider Active NPI

Russell Kamer, M.D.

  • Internal Medicine Physician
  • White Plains, NY
National Provider Identifier
1922023308
Registry record updated Feb 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
161812 Issued in NY
Practice address
15 N Broadway
Suite E
White Plains, NY 10601-2214
Phone
(914) 288-9396
Fax
(914) 288-9516
NPI assigned
Jul 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 161812 NY Primary

Addresses

Primary practice location

15 N Broadway
Suite E
White Plains, NY 10601-2214

Mailing address

15 N Broadway
Suite E
White Plains, NY 10601-2214
Phone (914) 288-9396

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
I20100302000401 NY Practitioner - Internal Medicine 9133264120 Receives reassigned benefits from 1 practitioner
Practice locations: White Plains, NY; Valhalla, NY; Nanuet, NY

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Columbia University College of Physicians and Surgeons, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

15 N Broadway
Suite E
White Plains, NY 10601-2222
Phone (914) 288-9396

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
161812NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Partner in Primary Care PLLC Internal Medicine PastSince Mar 22, 2010 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CIIEAA/Endpoint/CIIEAA

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Organizations & group practices 1

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330387200000",
    "number": "1922023308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 N BROADWAY",
            "address_2": "SUITE E",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106012214",
            "telephone_number": "914-288-9396",
            "fax_number": "914-288-9516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 N BROADWAY",
            "address_2": "SUITE E",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106012214",
            "telephone_number": "914-288-9396",
            "fax_number": "914-288-9516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMER",
        "first_name": "RUSSELL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2012-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "161812",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in White Plains, NY

Sources for this page

Verify at the official NPI Registry.