KENNETH R NAKAZAWA MD
NPI 1447754593
Surgery - Vascular Surgery in New York, NY
About Kenneth R Nakazawa Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KENNETH R NAKAZAWA MD (NPI 1447754593) is an individual vascular surgery provider in New York, New York, licensed in New York (303014) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS, is affiliated with Lenox Hill Hospital, and is a graduate of Other (2018).
NPPES Registry Identity
Specialties & Licenses
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
Kenneth R Nakazawa Md 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.
Medicare Billing Reassignments
3Medicare enrollment records show Kenneth Nakazawa reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
New York, NY 10037
- Reassigned Medicare billing, New York enrollment
- 2,094 clinicians in this Medicare group
New Hyde Park, NY 11040
- Reassigned Medicare billing, New York enrollment
- 9,353 clinicians in this Medicare group
New Hyde Park, NY 11042
- Reassigned Medicare billing, New York enrollment
- 42 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 14
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 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Lenox Hill Hospital
Acute Care Hospitals · New York, NYMetropolitan Hospital Center
Acute Care Hospitals · New York, NYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 10075 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Nakazawa's NPI number?
The NPI number for Kenneth Nakazawa is 1447754593. It was assigned to this individual provider in the NPPES registry on March 22, 2018.
Where is Kenneth Nakazawa located?
Kenneth Nakazawa practices at 130 East 77th Street, Black Hall, 13th Floor, New York, NY 10075. The listed phone number is (212) 434-3420.
What is Kenneth Nakazawa's specialty?
The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.
Is Kenneth Nakazawa enrolled in Medicare?
Yes. Kenneth Nakazawa 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 organizations bill Medicare for Kenneth Nakazawa's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kenneth Nakazawa reassigns Medicare benefits to 3 organizations: Physician Affiliate Group Of New York PC (New York, NY), North Shore - Lij Medical PC (New Hyde Park, NY) and North Shore-Lij Medical Group At Huntington PC (New Hyde Park, NY). Each 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 Kenneth Nakazawa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Kenneth Nakazawa affiliated with any hospitals?
According to CMS data, Kenneth Nakazawa is affiliated with Lenox Hill Hospital and Metropolitan Hospital Center.
When was this NPI record last updated?
The NPPES record for Kenneth Nakazawa was last updated on June 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Kenneth R Nakazawa, MD · NPI 1447754593
Vascular Surgery physician in New York, New York. Individual provider, active in the CMS NPPES registry since March 22, 2018.
## Identity
- **NPI:** 1447754593 (Entity type: Individual)
- **Enumerated:** March 22, 2018
- **Primary specialty:** Surgery - Vascular Surgery · taxonomy 2086S0129X
- **State license:** 303014 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 130 EAST 77TH STREET, BLACK HALL, 13TH FLOOR, New York, NY 10075
- **Phone:** (212) 434-3420 · **Fax:** (212) 434-3410
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Physician Affiliate Group Of New York PC (NPI 1013375526, New York, NY); North Shore - Lij Medical PC (NPI 1790043479, New Hyde Park, NY); North Shore-Lij Medical Group At Huntington PC (NPI 1174147979, New Hyde Park, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2018
## Record status
- **NPPES last updated:** June 28, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1447754593) · Data from the CMS NPPES public registry.