Active NPI
Jeffrey S Powell, MD
- Endocrinology, Diabetes & Metabolism Physician
- Mount Kisco, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- 204808
- Practice address
- 90 S Bedford Rd
Mount Kisco Medical Group PC
Mount Kisco, NY 10549-3412 - Phone
- (914) 241-1050
- Fax
- (914) 242-1371
- NPI assigned
- May 27, 2006
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 204808 | NY | |
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 204808 | NY | Primary |
Addresses
Primary practice location
90 S Bedford Rd
Mount Kisco Medical Group PC
Mount Kisco, NY 10549-3412
Mailing address
90 S Bedford Rd
Mount Kisco Medical Group PC
Mount Kisco, NY 10549-3412
Phone (914) 241-1050
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02138503 | Medicaid | NY |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100204000570 | NY | Practitioner - Endocrinology | 6901949510 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Endocrinology
- Education
- Albert Einstein College of Medicine of Yeshiva University, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
90 S Bedford Rd
Mount Kisco, NY 10549-3412
Phone (914) 241-1050
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles (4 of 8)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optum Medical Care, P.C. | Endocrinology, Diabetes & Metabolism | Current | Accepting new patients |
| Optum Medical Care, P.C. | Current | Accepting new patients | |
| Mount Kisco Medical Group | Endocrinology, Diabetes & Metabolism | Past | Accepting new patients |
| Matthew H. Ornstein, MD, PC | Internal Medicine | Past | Accepting new patients |
Locations
185 Route 312
Brewster, NY 10509
Phone (845) 225-2700
90 S Bedford Rd
Mount Kisco, NY 10549
Phone (914) 242-1050
110 S Bedford Rd
Mount Kisco, NY 10549
Phone (763) 910-9192
Philadelphia, PA 19195
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- jpowell141845@direct.optum.com
- jpowell65372@northwell.direct-ci.com
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.
-
- Cardiovascular Disease Physician
- Mount Kisco, NY
- NPI 1982643003
Endocrinology, Diabetes & Metabolism, NY
-
- Durable Medical Equipment & Medical Supplies
- New Hyde Park, NY
- NPI 1053190595
-
- Internal Medicine Physician
- New York, NY
- NPI 1558458414
Internal Medicine
-
- Hematology (Internal Medicine) Physician
- Fishkill, NY
- NPI 1952356362
Endocrinology, Diabetes & Metabolism
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148688000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1465776000000",
"number": "1962459974",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "90 S BEDFORD RD",
"address_2": "MOUNT KISCO MEDICAL GROUP PC",
"city": "MOUNT KISCO",
"state": "NY",
"postal_code": "105493412",
"telephone_number": "914-241-1050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "90 S BEDFORD RD",
"address_2": "MOUNT KISCO MEDICAL GROUP PC",
"city": "MOUNT KISCO",
"state": "NY",
"postal_code": "105493412",
"telephone_number": "914-241-1050",
"fax_number": "914-242-1371"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POWELL",
"first_name": "JEFFREY",
"middle_name": "S",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-27",
"last_updated": "2016-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "204808",
"primary": false
},
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "NY",
"license": "204808",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02138503",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mount Kisco, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2016; 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.