Icahn School Of Medicine At Mount Sinai - Medicare Primary Care in Staten Island, NY

Icahn School Of Medicine At Mount Sinai is a medicare enrolled primary clinic (Internal Medicine - Hematology & Oncology) in Staten Island, New York. The current practice location for Icahn School Of Medicine At Mount Sinai is 476 Klondike Ave, Staten Island, New York. For appointments, you can reach them via phone at (718) 761-1156. The mailing address for Icahn School Of Medicine At Mount Sinai is 150 E 42nd St Fl 5, 5.a.30.6, New York, New York and phone number is (646) 634-9814.

Icahn School Of Medicine At Mount Sinai is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1457867707. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (718) 761-1156.

Contact Information

Icahn School Of Medicine At Mount Sinai
476 Klondike Ave
Staten Island
NY 10314-6216
(718) 761-1156
(718) 761-1047

Map and Direction


Primary Care Clinic Profile

Full NameIcahn School Of Medicine At Mount Sinai
SpecialityInternal Medicine
Location476 Klondike Ave, Staten Island, New York
Authorized Official Name and PositionJanet Street (AVP OPERATIONS)
Authorized Official Contact6463543680
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Icahn School Of Medicine At Mount Sinai
150 E 42nd St Fl 5
5.a.30.6
New York
NY 10017-5612

Ph: (646) 634-9814
Icahn School Of Medicine At Mount Sinai
476 Klondike Ave
Staten Island
NY 10314-6216

Ph: (718) 761-1156

NPI Details:

NPI Number1457867707
Provider Enumeration Date12/22/2017
Last Update Date02/26/2026

Medicare PECOS Information:

Medicare PECOS PAC ID4880945955
Medicare Enrollment IDO20180928002222

Medical Identifiers

Medical identifiers for Icahn School Of Medicine At Mount Sinai such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1457867707NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine (* (Not Available))Secondary
207RC0000XInternal Medicine - Cardiovascular Disease (* (Not Available))Secondary
207UN0901XNuclear Medicine - Nuclear Cardiology (* (Not Available))Secondary
163WI0500XRegistered Nurse - Infusion Therapy (* (Not Available))Secondary
207RG0100XInternal Medicine - Gastroenterology (* (Not Available))Secondary
2085R0202XRadiology - Diagnostic Radiology (* (Not Available))Secondary
207RE0101XInternal Medicine - Endocrinology, Diabetes & Metabolism (* (Not Available))Secondary
207RH0003XInternal Medicine - Hematology & Oncology (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Icahn School Of Medicine At Mount Sinai acts as a billing entity for following providers:
Provider NameSeshadri Das
Provider TypePractitioner - Endocrinology
Provider IdentifiersNPI Number: 1477664134
PECOS PAC ID: 7517857741
Enrollment ID: I20040319000242
Provider NamePara Ahilan
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1811942501
PECOS PAC ID: 4880686344
Enrollment ID: I20040402000500
Provider NameSunil H Patel
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1588721658
PECOS PAC ID: 5991799363
Enrollment ID: I20040409000490
Provider NameSrinivas Duvvuri
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1841237526
PECOS PAC ID: 8325033350
Enrollment ID: I20040419000435
Provider NameFlorisa Caparros
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1518001460
PECOS PAC ID: 5799778965
Enrollment ID: I20040420001193
Provider NameJonathan M Weber
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1588638142
PECOS PAC ID: 5294726253
Enrollment ID: I20040519001313
Provider NameElizabeth Maddela
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1043272719
PECOS PAC ID: 9931140837
Enrollment ID: I20050520000748
Provider NameRobert Fulop
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1861461345
PECOS PAC ID: 8123069754
Enrollment ID: I20050525000150
Provider NameDumisa Adams
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1619964376
PECOS PAC ID: 9032147020
Enrollment ID: I20050801000444
Provider NamePublius Martins
Provider TypePractitioner - Pulmonary Disease
Provider IdentifiersNPI Number: 1821073917
PECOS PAC ID: 2860403649
Enrollment ID: I20060508000704
Provider NameDeba P Banerji
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1073574240
PECOS PAC ID: 2567473077
Enrollment ID: I20060518000008
Provider NameAjit Belliappa
Provider TypePractitioner - Diagnostic Radiology
Provider IdentifiersNPI Number: 1225085129
PECOS PAC ID: 4789696949
Enrollment ID: I20060707000180
Provider NameBhavesh D Gala
Provider TypePractitioner - Cardiovascular Disease (cardiology)
Provider IdentifiersNPI Number: 1558416776
PECOS PAC ID: 2466556170
Enrollment ID: I20070404000518
Provider NameMahmoud H Aly
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1699791459
PECOS PAC ID: 4880639715
Enrollment ID: I20070906000576
Provider NameConstantine Yiachos
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1063588127
PECOS PAC ID: 2264500354
Enrollment ID: I20081015000408
Provider NameYumi Kim
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1659383669
PECOS PAC ID: 0244209609
Enrollment ID: I20110409000085
Provider NameRumana Sultana
Provider TypePractitioner - Hematology/oncology
Provider IdentifiersNPI Number: 1215274949
PECOS PAC ID: 2769796838
Enrollment ID: I20150828001622
Provider NameGwendolyn Hernandez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1831631795
PECOS PAC ID: 1456605468
Enrollment ID: I20181109002166
Provider NameCharles F Sineri
Provider TypePractitioner - Interventional Cardiology
Provider IdentifiersNPI Number: 1639557382
PECOS PAC ID: 8729338017
Enrollment ID: I20200612001678
Provider NameTeresa M Attina
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1932696762
PECOS PAC ID: 4880934017
Enrollment ID: I20210811001442
Provider NameKseniya Parnitskaya
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1740853548
PECOS PAC ID: 8224414107
Enrollment ID: I20220929002044
Provider NameHimanga Chathurani Rasanjana Kalinga
Provider TypePractitioner - Endocrinology
Provider IdentifiersNPI Number: 1598320947
PECOS PAC ID: 3678011418
Enrollment ID: I20240812003234

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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.