Pankaj K Mamtora, MD - Medicare Internal Medicine in Ridgewood, NY

Pankaj K Mamtora, MD is a medicare enrolled "Internal Medicine" physician in Ridgewood, New York. His current practice location is 5629 Metropolitan Ave, Ridgewood, New York. You can reach out to his office (for appointments etc.) via phone at (718) 418-0300.

Pankaj K Mamtora is licensed to practice in New York (license number 183635) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1467534842.

Contact Information

Pankaj K Mamtora, MD
5629 Metropolitan Ave,
Ridgewood, NY 11385-1975
(718) 418-0300
(718) 418-0301

Map and Direction




Physician's Profile

Full NamePankaj K Mamtora
GenderMale
SpecialityInternal Medicine
Location5629 Metropolitan Ave, Ridgewood, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1467534842
  • Provider Enumeration Date: 10/19/2006
  • Last Update Date: 06/02/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 6002978905
  • Enrollment ID: I20090102000005

Medical Identifiers

Medical identifiers for Pankaj K Mamtora such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1467534842NPI-NPPES
01456968MedicaidNY
29I692OtherNYEMPIRE BS BC ON NY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 183635 (New York)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Pankaj K Mamtora allows following entities to bill medicare on his behalf.
Entity NameNortheast Medical, P.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1912393406
PECOS PAC ID: 7810208824
Enrollment ID: O20150617002118
Entity NameMk Healthcare Medical Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1316426299
PECOS PAC ID: 8123371978
Enrollment ID: O20181025001137

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Pankaj K Mamtora is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Pankaj K Mamtora, MD
5629 Metropolitan Ave,
Ridgewood, NY 11385-1975

Ph: (718) 418-0300
Pankaj K Mamtora, MD
5629 Metropolitan Ave,
Ridgewood, NY 11385-1975

Ph: (718) 418-0300

Reviews and Comments


Internal Medicine Doctors in Ridgewood, NY

Dr. Kalpesh S Amin, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 6911 Forest Ave, Ridgewood, NY 11385
Phone: 718-497-8419    Fax: 718-386-3522
Dr. Rekha Bhandari, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 385 Seneca Ave, Ridgewood, NY 11385
Phone: 718-821-1222    Fax: 718-418-7490
Abul B Shahidullah, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 62-65 Forest Avenue, Ridgewood, NY 11385
Phone: 718-366-7999    Fax: 718-366-6468
Dr. Doru Ion Buza, M.D.
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 6083 Myrtle Ave, Ridgewood, NY 11385
Phone: 718-628-1010    Fax: 718-380-0235
Dr. Pradeep Sharma, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 790 Seneca Ave, Ridgewood, NY 11385
Phone: 718-821-3777    Fax: 718-821-2858
Rajinder Uppal, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1670 Putnam Ave, Ridgewood, NY 11385
Phone: 718-417-7200    
Deepak Setia, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 385 Seneca Ave, Ridgewood, NY 11385
Phone: 718-821-1222    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.