Individual provider Active NPI

Milan Kinkhabwala, MD

  • Transplant Surgery Physician
  • Bronx, NY
National Provider Identifier
1942257282
Registry record updated Aug 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Transplant Surgery PhysicianTaxonomy code 204F00000X
License
1832531 Issued in NY
Practice address
111 E 210TH St
Rosenthal 2
Bronx, NY 10467-2401
Phone
(718) 920-6659
NPI assigned
May 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Transplant Surgery Physician 204F00000X 1832531 NY Primary

Addresses

Primary practice location

111 E 210TH St
Rosenthal 2
Bronx, NY 10467-2401

Mailing address

111 E 210TH St
Rosenthal 2
Bronx, NY 10467-2401
Phone (718) 920-6659

Other identifiers 1

IdentifierTypeStateIssuer
01643232MedicaidNY

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
I20040412000628 NY Practitioner - General SurgeryPractitioner - Surgical Oncology 4688668874 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
JS Weill Medical College, Cornell University, 1989
Medicare assignment
May accept Medicare assignment
Group practices
Montefiore Medical CenterGroup PAC ID 3779496021, 2,809 clinicians

Practice addresses (Care Compare)

111 E 210TH St
Bronx, NY 10467-2401
Phone (866) 633-8255

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1832531NYMDTransplant Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Montefiore Medical Center CurrentSince Apr 12, 2007 Accepting new patients
Montefiore Medical Center CurrentSince Apr 12, 2007 Accepting new patients
Montefiore Medical Center Past Accepting new patients
Montefiore Mount Vernon Hospital Past Accepting new patients
Trustees of Columbia University in the City of New York Transplant Surgery Past Accepting new patients
Weill Medical College of Cornell Past Accepting new patients

Locations

1250 Waters Pl
Bronx, NY 10461
Phone (718) 409-9444

2475 Saint Raymonds Ave
Bronx, NY 10461
Phone (718) 430-7300

111 E 210th St
#2
Bronx, NY 10467
Phone (718) 920-5057

600 E 233rd St
Bronx, NY 10466
Phone (718) 920-1640

111 E 210th St
Bronx, NY 10467

1825 Eastchester Rd
Bronx, NY 10461
Phone (718) 904-2000

555 Taxter Rd
Elmsford, NY 10523
Phone (718) 920-2587

141 S Central Ave
Hartsdale, NY 10530
Phone (914) 761-4030

622 W 168th St
Fl 14
New York, NY 10032
Phone (212) 305-6788

160 N Midland Ave
Nyack, NY 10960
Phone (845) 348-2000

1010 Central Park Ave
Yonkers, NY 10704
Phone (914) 964-4000

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: mkinkhab@montefioredirect.com

Organizations & group practices 6

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": "1148947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346371200000",
    "number": "1942257282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 E 210TH ST",
            "address_2": "ROSENTHAL 2",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104672401",
            "telephone_number": "718-920-6659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 E 210TH ST",
            "address_2": "ROSENTHAL 2",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104672401",
            "telephone_number": "718-920-6659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KINKHABWALA",
        "first_name": "MILAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-30",
        "last_updated": "2012-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204F00000X",
            "taxonomy_group": "",
            "desc": "Transplant Surgery",
            "state": "NY",
            "license": "1832531",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01643232",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.