KENNETH BOMPAROLA PA
NPI 1003180803
Physician Assistant in New York, NY

Active since February 27, 2012PECOS EnrolledAccepts Medicare Assignment
1901 1ST AVE, NEW YORK, NY 10029(212) 423-6262 Get Directions Write a Review

NPPES record last updated: March 5, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kenneth Bomparola Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENNETH BOMPAROLA PA (NPI 1003180803) is an individual physician assistant in New York, New York, licensed in New York (015373) and active in the NPI registry since February 2012. He is enrolled in Medicare PECOS, is affiliated with Ns/lij Hs Southside Hospital, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1003180803
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameKENNETH BOMPAROLACredential: PA
Location Address1901 1ST AVENew York, NY 10029-7404
Mailing Address316 Carnation RdWest Islip, NY 11795-2802
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateFebruary 27, 2012
Last NPPES UpdateMarch 5, 2014
NPI 1003180803 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in NY · 015373
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1901 1ST AVE, New York, NY 10029

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kenneth Bomparola Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7618138389
PECOS Enrollment IDI20120406000065
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Replacement of knee joint, both sides of knee 27447
A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.
12 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ns/Lij Hs Southside Hospital

Acute Care Hospitals · Bay Shore, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330043
Location301 East Main StreetBay Shore, NY 11706 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10029 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist (Pharmacotherapy)
1901 1ST AVE
NEW YORK, NY 10029
Emergency Medicine
1901 1ST AVE
NEW YORK, NY 10029
Student in an Organized Health Care Education/Training Program
1901 1ST AVE
NEW YORK, NY 10029
Psychiatry & Neurology (Psychiatry)
1901 1ST AVE
NEW YORK, NY 10029
Student in an Organized Health Care Education/Training Program
1901 1ST AVE
NEW YORK, NY 10029
Social Worker (Clinical)
1901 1ST AVE
NEW YORK, NY 10029
Internal Medicine (Critical Care Medicine)
1901 1ST AVE
NEW YORK, NY 10029
Eyewear Supplier
1901 1ST AVE, ROOM 1D18
NEW YORK, NY 10029

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenneth Bomparola's NPI number?

The NPI number for Kenneth Bomparola is 1003180803. It was assigned to this individual provider in the NPPES registry on February 27, 2012.

Where is Kenneth Bomparola located?

Kenneth Bomparola practices at 1901 1st Ave, New York, NY 10029. The listed phone number is (212) 423-6262.

What is Kenneth Bomparola's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Kenneth Bomparola enrolled in Medicare?

Yes. Kenneth Bomparola is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Kenneth Bomparola affiliated with any hospitals?

According to CMS data, Kenneth Bomparola is affiliated with Ns/Lij Hs Southside Hospital.

When was this NPI record last updated?

The NPPES record for Kenneth Bomparola was last updated on March 5, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.