DR. BINNY KOSHY M.D. NPI 1114925708
Internal Medicine (Nephrology) in Mineola, NY
NPI Profile for DR. BINNY KOSHY M.D.
Binny Koshy is an internal medicine provider established in Mineola, New York and his medical specialization is internal medicine (nephrology) with more than 26 years of experience. The NPI number of Binny Koshy is 1114925708 and was assigned on July 2005. The practitioner's primary taxonomy code is 207RN0300X with license number 225184 (NY). The provider is registered as an individual and his NPI record was last updated 10 years ago.
An internist like Dr. Binny Koshy M.d. is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Binny Koshy is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Binny Koshy is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with Plainview Hospital, North Shore University Hospital, Chsli St Joseph Hospital, New York University Langone Medical Center and Northwell Hospital Glen Cove.
The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 30, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.
| NPI | 1114925708 |
| Provider Name | DR. BINNY KOSHY M.D. |
| Provider Location Address | 300 OLD COUNTRY RD SUITE 111 MINEOLA, NY 11501 |
| Provider Mailing Address | 300 OLD COUNTRY RD SUITE 111 MINEOLA, NY 11501 |
| Gender | Male |
| NPI Entity Type | Individual |
| Medical School Name | OTHER |
| Graduation Year | 1997 |
| Is Sole Proprietor? | No |
| Is Organization Subpart? | N/A |
| Enumeration Date | 07-08-2005 |
| Last Update Date | 08-09-2012 |
Primary Taxonomy
| Taxonomy Code | 207RN0300X |
| Classification | Internal Medicine |
| Type | Allopathic & Osteopathic Physicians |
| Specialization | Nephrology |
| License No. | 225184 |
| License State | NY |
| Taxonomy Description | An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
Business Address
DR. BINNY KOSHY M.D.
300 OLD COUNTRY RD
SUITE 111
MINEOLA, NY
ZIP 11501
Phone: (516) 745-0500
Fax: (516) 745-1534
Mailing Address
DR. BINNY KOSHY M.D.
300 OLD COUNTRY RD
SUITE 111
MINEOLA, NY
ZIP 11501
Phone: (516) 745-0500
Fax: (516) 745-1534
PECOS Enrollment and Medicare Participation
What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
| Registered in PECOS? | Yes |
| PECOS PAC ID | 8820008378 |
| PECOS Enrollment ID | I20060427000396 |
| Accepts Medicare Assignment? | Yes "What does it mean "accepts medicare assignment"? When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts. A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer. |
| Eligible order / refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible order / refer Durable Medical Equipment | Yes |
| Eligible order / refer Home Health Agency (HHA) | Yes |
| Eligible order / refer Power Mobility Devices | Yes |
Overall MIPS Quality Performance
The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in Medicare's Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.
| MIPS Measure | Score Weight | Score | |
|---|---|---|---|
| Quality | 40% | N/A | |
|
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores. There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey. |
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| Promoting Interoperability (PI) | 25% | N/A | |
|
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores. The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data. |
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| Improvement Activities | 15% | N/A | |
|
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores. |
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| Cost | 20% | N/A | |
|
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services. Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores. |
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| MIPS Final Score | - | 30 | |
| The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment. | |||
Clinician Utilization
The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.
- 247Dialysis services (4 or more physician visits per month), patient 20 years of age and older (HCPCS:90960)
- 209Hemodialysis procedure with one physician evaluation (HCPCS:90935)
- 75Dialysis services (2-3 physician visits per month), patient 20 years of age and older (HCPCS:90961)
- 12Dialysis services (1 physician visit per month), patient 20 years of age and older (HCPCS:90962)
Hospital Affiliations
Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Binny Koshy is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | CMS Certification Number (CCN) | Overall Rating |
|---|---|---|---|---|---|
| PLAINVIEW HOSPITAL | 888 OLD COUNTRY ROAD PLAINVIEW, NY 11803 | (516) 719-3000 | Acute Care Hospitals | 330331 | |
| NORTH SHORE UNIVERSITY HOSPITAL | 300 COMMUNITY DRIVE MANHASSET, NY 11030 | (516) 562-0100 | Acute Care Hospitals | 330106 | |
| CHSLI ST JOSEPH HOSPITAL | 4295 HEMPSTEAD TURNPIKE BETHPAGE, NY 11714 | (516) 579-6000 | Acute Care Hospitals | 330332 | |
| NEW YORK UNIVERSITY LANGONE MEDICAL CENTER | 550 FIRST AVENUE NEW YORK, NY 10016 | (212) 263-7300 | Acute Care Hospitals | 330214 | |
| NORTHWELL HOSPITAL GLEN COVE | 101 ST ANDREWS LANE GLEN COVE, NY 11542 | (516) 674-7300 | Acute Care Hospitals | 330181 |
Secondary Taxonomies
The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.
| No. | Taxonomy Code | Type | Classification | Specialization | License No. | State | Primary |
|---|---|---|---|---|---|---|---|
| 1 | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine | 225184 | NY | No | |
Taxonomy Description: 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. | |||||||
Additional Identifiers
Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State |
|---|---|---|
| 55S211 | MEDICARE ID-TYPE UNSPECIFIED (04) | |
| H73688 | MEDICARE UPIN (02) | NY |
| 02671850 | MEDICAID (05) | NY |
NPI Validation Check Digit Calculation
The following table explains step by step the NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 1 | 4 | 9 | 2 | 5 | 7 | 0 | 8 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 2 | 4 | 18 | 2 | 10 | 7 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 2 + 4 + 1 + 8 + 2 + 1 + 0 + 7 + 0 + 24 = 52 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 52 = 8 | 8 | ||||||||
The NPI number 1114925708 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the same location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1124026505 | DR. ROBERT J NEJAT M.D. Individual | Urology | 300 OLD COUNTRY RD SUITE 211 MINEOLA, NY 11501 (516) 741-2255 |
| 1679560692 | DR. STEVEN JAY RAVICH MD Individual | Orthopaedic Surgery | 300 OLD COUNTRY RD SUITE 151 MINEOLA, NY 11501 (516) 747-5700 |
| 1275598575 | HUE T. LY M.D. Individual | Internal Medicine | 300 OLD COUNTRY RD SUITE 31 MINEOLA, NY 11501 (516) 294-9380 |
| 1578516563 | QUEENS NASSAU NEPHROLOGY SERVICES, P.C. Organization | Internal Medicine (Nephrology) | 300 OLD COUNTRY RD SUITE 111 MINEOLA, NY 11501 (516) 745-0500 |
| 1699861237 | DR. MICHAEL PETELIS DO Individual | Family Medicine | 300 OLD COUNTRY RD SUITE 211 MINEOLA, NY 11501 (516) 280-2599 |
| 1306922786 | DR. R. PHILLIP COLON PH.D. Individual | Psychologist (Clinical) | 300 OLD COUNTRY RD SUITE 91 MINEOLA, NY 11501 (516) 294-8914 |
| 1780715508 | MS. IRENE HAJISAVA L.C.S.W. Individual | Social Worker (Clinical) | 300 OLD COUNTRY RD SUITE 91 MINEOLA, NY 11501 (516) 294-0411 |
| 1841415726 | ALLISON ELISE DUBNER PHD Individual | Psychologist | 300 OLD COUNTRY RD SUITE 251 MINEOLA, NY 11501 (516) 779-0527 |
| 1689894685 | IRA J SPECTOR MD Individual | Obstetrics & Gynecology (Gynecology) | 300 OLD COUNTRY RD MINEOLA, NY 11501 (516) 747-4404 |
| 1013137017 | STEVEN A KLEIN MD Individual | Obstetrics & Gynecology (Maternal & Fetal Medicine) | 300 OLD COUNTRY RD MINEOLA, NY 11501 (516) 747-4404 |
| 1588872113 | NASSAU SPORTS PHYSICAL THERAPY Organization | Specialist | 300 OLD COUNTRY RD SUITE 191 MINEOLA, NY 11501 (516) 747-5050 |
| 1659516284 | SAMUEL KENAN,MD.,P.C Organization | Specialist | 300 OLD COUNTRY RD SUITE221 MINEOLA, NY 11501 (516) 280-3733 |
| 1972839546 | JEAN RUVEL MA, RD, CDE, CDN Individual | Dietitian, Registered | 300 OLD COUNTRY RD SUITE 202 MINEOLA, NY 11501 (516) 747-4616 |
| 1548566342 | NORTH SHORE RETINA PHYSICIAN, PLLC Organization | Ophthalmology | 300 OLD COUNTRY RD SUITE GL 51 MINEOLA, NY 11501 (516) 729-8515 |
| 1356349922 | DR. ANDREY GONCHARUK M.D. Individual | Internal Medicine (Nephrology) | 300 OLD COUNTRY RD SUITE 111 MINEOLA, NY 11501 (516) 745-0500 |
| 1871591453 | DR. MARIO MAROTTA M.D. Individual | Internal Medicine (Nephrology) | 300 OLD COUNTRY RD SUITE 111 MINEOLA, NY 11501 (516) 745-0500 |
| 1598763187 | DR. YELENA ROSENBERG M.D. Individual | Internal Medicine (Nephrology) | 300 OLD COUNTRY RD SUITE 111 MINEOLA, NY 11501 (516) 745-0500 |
| 1518965110 | DR. VINCENT STEVEN AVILA M.D. Individual | Internal Medicine (Nephrology) | 300 OLD COUNTRY RD SUITE 111 MINEOLA, NY 11501 (516) 745-0500 |
| 1801831763 | EDUARD BOVER D.O. Individual | Internal Medicine (Nephrology) | 300 OLD COUNTRY RD SUITE 111 MINEOLA, NY 11501 (516) 745-0500 |
| 1992703490 | DR. CHRISTOPHER CAPUTO M.D. Individual | Internal Medicine (Nephrology) | 300 OLD COUNTRY RD SUITE 111 MINEOLA, NY 11501 (516) 745-0500 |
NPI Footnotes
What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
Entity Type Code
Dr. Binny Koshy M.d. is registered as an entity type code: 1. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:
- 1 = Person: individual human being who furnishes health care.
- 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.
Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date
The date that a NPI record was last updated or changed.
Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.