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KANWAR JOLLY
NPI 1073046132
Internal Medicine in Brooklyn, NY

Active since April 06, 2017PECOS EnrolledAccepts Medicare Assignment
585 SCHENECTADY AVE, BROOKLYN, NY 11203(718) 604-5401 Get Directions Write a Review

NPPES record last updated: September 8, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 8, 2022, Dec 20, 2021 (2 updates tracked since 2021).

About Kanwar Jolly NPPES

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

KANWAR JOLLY (NPI 1073046132) is an individual internal medicine provider in Brooklyn, New York, licensed in California (A170209) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1073046132
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameKANWAR JOLLY
Location Address585 SCHENECTADY AVEBrooklyn, NY 11203-1822
Mailing Address6363 Christie Ave Apt 217Emeryville, CA 94608-1915 · (773) 332-1773
Phone(718) 604-5401
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateApril 6, 2017
Last NPPES UpdateSeptember 8, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 8, 2022
✔ NPI 1073046132 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · A170209
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
585 SCHENECTADY AVE, Brooklyn, NY 11203
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kanwar Jolly 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 ID7810391760
PECOS Enrollment IDI20210813002633
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.

Medicare Billing Reassignment

Medicare enrollment records show Kanwar Jolly reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Permanente Medical Group Inc
2,513 mi
Internal Medicine
7373 WEST LANE
Stockton, CA 95210
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1548343510 (209) 476-2000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11203 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
Most-billed visit code 99214
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.

MARIO GUSTAVE M.D.
Psychiatry & Neurology (Geriatric Psychiatry)
585 SCHENECTADY AVE
BROOKLYN, NY 11203
Kings County (718) 604-5281
HIU SHAN LAI PHARM. D.
Pharmacist
585 SCHENECTADY AVE
BROOKLYN, NY 11203
Kings County (718) 604-5363
MR. ROBERT BUCK RPH
Pharmacist
585 SCHENECTADY AVE
BROOKLYN, NY 11203
Kings County (718) 604-5363
DR. MARK JEFFREY DRUKARTZ DDS
Dentist (General Practice)
585 SCHENECTADY AVE
BROOKLYN, NY 11203
Kings County (718) 604-5000
KINGSBROOK JEWISH MEDICAL CENTER
Clinic/Center
585 SCHENECTADY AVE, MANAGED CARE DEPT
BROOKLYN, NY 11203
Kings County (718) 604-5469
MARIE DENISE COLVERT FNP
Nurse Practitioner (Family)
585 SCHENECTADY AVE, EMERGENCY DEPARTMENT
BROOKLYN, NY 11203
Kings County (718) 604-5000
BENJAMIN WEE PHARM.D.
Pharmacist
585 SCHENECTADY AVE
BROOKLYN, NY 11203
Kings County (718) 363-6651
ELISABETH MARIE-HELENE LESCOUFLAIR M.D
Psychiatry & Neurology (Psychiatry)
585 SCHENECTADY AVE
BROOKLYN, NY 11203
Kings County (718) 604-5281

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 Kanwar Jolly's NPI number?

The NPI number for Kanwar Jolly is 1073046132. It was assigned to this individual provider in the NPPES registry on April 6, 2017.

Where is Kanwar Jolly located?

Kanwar Jolly practices at 585 Schenectady Ave, Brooklyn, NY 11203. The listed phone number is (718) 604-5401.

What is Kanwar Jolly's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Kanwar Jolly enrolled in Medicare?

Yes. Kanwar Jolly 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.

Which organization bills Medicare for Kanwar Jolly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kanwar Jolly reassigns Medicare benefits to Permanente Medical Group Inc (Stockton, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kanwar Jolly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kanwar Jolly was last updated on September 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.