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MS. KENISHA DANIA ATWELL M.D.
NPI 1508244385
Colon & Rectal Surgery in Manorville, NY

Active since May 12, 2015PECOS Enrolled
496 COUNTY ROAD 111 BLDG D, MANORVILLE, NY 11949(631) 727-5065 Get Directions Write a Review

NPPES record last updated: September 1, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 1, 2023, Apr 28, 2022 (2 updates tracked since 2022).

About Ms. Kenisha Dania Atwell M.d. NPPES

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

MS. KENISHA DANIA ATWELL M.D. (NPI 1508244385) is an individual colon & rectal surgery provider in Manorville, New York, licensed in New York (325472) and active in the NPI registry since May 2015. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1508244385
Entity TypeIndividualFemale
Primary Taxonomy208C00000X
Provider Legal NameMS. KENISHA DANIA ATWELLCredential: M.D.
Location Address496 COUNTY ROAD 111 BLDG DManorville, NY 11949-3383
Mailing Address496 County Road 111 Bldg DManorville, NY 11949-3383 · (631) 727-5065
Phone(631) 727-5065
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateMay 12, 2015
Last NPPES UpdateSeptember 1, 20232 updates tracked since enumeration
NPPES CertifiedSeptember 1, 2023
✔ NPI 1508244385 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyColon & Rectal SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208C00000X
License✔ Licensed in NY · 325472
Definition
A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
496 COUNTY ROAD 111 BLDG D, Manorville, NY 11949
Open in Google Maps ↗

Secondary Practice Locations 2

Location 12950 Cleveland Clinic BlvdWeston, FL 33331-3609 · Phone (954) 659-5000
Location 22041 Georgia Ave NWWashington, DC 20060-0001 · Phone (202) 865-6100

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ms. Kenisha Dania Atwell M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9830571637
PECOS Enrollment IDI20231026004040
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 5

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.

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.
80 services44 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
73 services73 patients
Diagnostic exam of anus using an endoscope 46600
This procedure involves using a thin, flexible instrument called an endoscope to examine the anal area. It helps detect any abnormal conditions or issues. It's a safe, routine exam performed by a healthcare professional.
54 services46 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
23 services21 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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11949 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

JASMIN MAGHSOUDLOU FNP
Nurse Practitioner (Family)
496 COUNTY ROAD 111 BLDG D
MANORVILLE, NY 11949
Suffolk County (888) 321-3627

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 Kenisha Atwell's NPI number?

The NPI number for Kenisha Atwell is 1508244385. It was assigned to this individual provider in the NPPES registry on May 12, 2015.

Where is Kenisha Atwell located?

Kenisha Atwell practices at 496 County Road 111 Bldg D, Manorville, NY 11949. The listed phone number is (631) 727-5065.

What is Kenisha Atwell's specialty?

The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.

Is Kenisha Atwell enrolled in Medicare?

Yes. Kenisha Atwell is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kenisha Atwell was last updated on September 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.