SURENDRA KISSOON MD
NPI 1144306630
Internal Medicine in Jamaica, NY

Q: What is Surendra Kissoon's NPI number?

The NPI number for Surendra Kissoon is 1144306630. It was assigned to this individual provider in the NPPES registry on October 27, 2006.

Q: What is Surendra Kissoon's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Surendra Kissoon was last updated on September 16, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since October 27, 2006PECOS Enrolled

18005 HILLSIDE AVE, JAMAICA, NY 11432(718) 526-6300(718) 262-7064 Get Directions Write a Review

NPPES record last updated: September 16, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 16, 2019, Nov 9, 2017 (2 updates tracked since 2017).

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About Surendra Kissoon Md NPPES

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

SURENDRA KISSOON MD (NPI 1144306630) is an individual internal medicine provider in Jamaica, New York, licensed in New York (235079) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Jamaica.

NPPES Registry Identity

NPI1144306630

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameSURENDRA KISSOONCredential: MD

Location Address18005 HILLSIDE AVEJamaica, NY 11432

Mailing Address55 Water Street, 2nd Floor Cred DeptNew York, NY 10041-0004 · (646) 680-2888 · Fax (516) 542-5556

Phone(718) 526-6300

Fax(718) 262-7064

Sole ProprietorNo

Enumeration DateOctober 27, 2006

Last NPPES UpdateSeptember 16, 20192 updates tracked since enumeration

✔ NPI 1144306630 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in NY · 235079

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.

18005 HILLSIDE AVE, Jamaica, NY 11432

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Secondary Practice Location 1

Location 118005 Hillside AveJamaica, NY 11432 · Phone (718) 526-6300 · Fax (718) 262-7064

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Surendra Kissoon Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Surendra Kissoon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Advantagecare Physicians PC

9.3 mi

General Practice

215 E 95TH ST
New York, NY 10128

Reassigned Medicare billing, New York enrollment
724 clinicians in this Medicare group

NPI 1336578772 (212) 996-8000

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 11432 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

$153.13 typical visit price

range $67.00 – $201.98

Typical copayment $38.28 (range $16.75 – $50.49)

Most-billed visit code 99204

Established Patient

$116.96 typical visit price

range $21.62 – $163.52

Typical copayment $29.24 (range $5.40 – $40.88)

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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

2 suppliers15 claims15 services$9.74 avg. paid by Medicare

Elevating leg rests, pair (for use with capped rental wheelchair base) K0195

DME-Wheelchairs · category DD021N

2 suppliers15 claims15 services$4.42 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

QLIMG JAMAICA ESTATES MED OFFICE

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