DR. MAIKO KONDO MD, MS
NPI 1396156691
Internal Medicine - Infectious Disease in New York, NY

Active since May 08, 2014PECOS EnrolledAccepts Medicare Assignment
91.25/100
CMS Quality Rating
178 E 85TH ST FL 4, NEW YORK, NY 10028(212) 434-3427(212) 434-6275 Get Directions Write a Review

NPPES record last updated: April 20, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Maiko Kondo Md, Ms NPPES

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

DR. MAIKO KONDO MD, MS (NPI 1396156691) is an individual infectious disease provider in New York, New York, licensed in New York (281574) and active in the NPI registry since May 2014. She is enrolled in Medicare PECOS, is affiliated with Lenox Hill Hospital, and is a graduate of Albert Einstein College Of Medicine Of Yeshiva University (2014).

NPPES Registry Identity

NPI1396156691
Entity TypeIndividualFemale
Primary Taxonomy207RI0200X
Provider Legal NameDR. MAIKO KONDOCredential: MD, MS
Location Address178 E 85TH ST FL 4New York, NY 10028-2119
Mailing Address178 E 85th St Fl 4New York, NY 10028-2119 · (212) 434-3427 · Fax (212) 434-6275
Fax(212) 434-6275
Sole ProprietorNo
Medical School CMSAlbert Einstein College Of Medicine Of Yeshiva UniversityGraduated 2014
Enumeration DateMay 8, 2014
Last NPPES UpdateApril 20, 2021
NPPES CertifiedApril 20, 2021
NPI 1396156691 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License Licensed in NY · 281574
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
178 E 85TH ST FL 4, New York, NY 10028

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. Maiko Kondo Md, Ms 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 ID6709183866
PECOS Enrollment IDI20200827002594
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 7

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
394 services148 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
108 services104 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
102 services52 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
24 services22 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
23 services15 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
21 services21 patients

Hospital Affiliations CMS Care Compare

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

Lenox Hill Hospital

Acute Care Hospitals · New York, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330119
Location100 East 77th StreetNew York, NY 10021 · New York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10028 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
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.92
Promoting Interoperability91.67
Improvement Activities40

Other Providers at the Same Location NPPES 7

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

Internal Medicine (Gastroenterology)
178 E 85TH ST FL 4
NEW YORK, NY 10028
Registered Nurse
178 E 85TH ST FL 4
NEW YORK, NY 10028
Internal Medicine (Infectious Disease)
178 E 85TH ST FL 4
NEW YORK, NY 10028
Internal Medicine (Gastroenterology)
178 E 85TH ST FL 4
NEW YORK, NY 10028
Internal Medicine (Gastroenterology)
178 E 85TH ST FL 4
NEW YORK, NY 10028
Nurse Practitioner (Family)
178 E 85TH ST FL 4
NEW YORK, NY 10028
Internal Medicine (Gastroenterology)
178 E 85TH ST FL 4
NEW YORK, NY 10028

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 Maiko Kondo's NPI number?

The NPI number for Maiko Kondo is 1396156691. It was assigned to this individual provider in the NPPES registry on May 8, 2014.

Where is Maiko Kondo located?

Maiko Kondo practices at 178 E 85th St Fl 4, New York, NY 10028. The listed phone number is (212) 434-3427.

What is Maiko Kondo's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Maiko Kondo enrolled in Medicare?

Yes. Maiko Kondo 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 Maiko Kondo affiliated with any hospitals?

According to CMS data, Maiko Kondo is affiliated with Lenox Hill Hospital.

When was this NPI record last updated?

The NPPES record for Maiko Kondo was last updated on April 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.