DR. KENNETH S ETRA M.D.
NPI 1225012313
Otolaryngology in Great Neck, NY
About Dr. Kenneth S Etra M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KENNETH S ETRA M.D. (NPI 1225012313) is an individual otolaryngology provider in Great Neck, New York, licensed in New York (127393) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with North Shore University Hospital, and is a graduate of Tufts University School Of Medicine (1975).
NPPES Registry Identity
Specialties & Licenses
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
Dr. Kenneth S Etra M.d. 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.
Areas of Expertise CMS Part B claims 26
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
North Shore University Hospital
Acute Care Hospitals · Manhasset, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 11021 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
GREAT NECK, NY 11021
GREAT NECK, NY 11021
GREAT NECK, NY 11021
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 Etra's NPI number?
The NPI number for Kenneth Etra is 1225012313. It was assigned to this individual provider in the NPPES registry on December 1, 2005.
Where is Kenneth Etra located?
Kenneth Etra practices at 560 Northern Blvd, Great Neck, NY 11021. The listed phone number is (516) 487-6200.
What is Kenneth Etra's specialty?
The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.
Is Kenneth Etra enrolled in Medicare?
Yes. Kenneth Etra 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 Etra affiliated with any hospitals?
According to CMS data, Kenneth Etra is affiliated with North Shore University Hospital.
When was this NPI record last updated?
The NPPES record for Kenneth Etra was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 37 days 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.