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GOODKIDNEYS MEDICAL, P.C.
NPI 1629146279
Internal Medicine - Nephrology in Staten Island, NY

Active since December 01, 2006
1467 ARDEN AVE, STATEN ISLAND, NY 10312(718) 966-4864(718) 966-4863 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Goodkidneys Medical, P.c. NPPES

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

GOODKIDNEYS MEDICAL, P.C. (NPI 1629146279) is a healthcare organization registered as a nephrology in Staten Island, New York and active in the NPI registry since December 2006. The organization lists Adel S. El-hennawy, Owner, as its authorized official.

NPPES Registry Identity

NPI1629146279
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameGOODKIDNEYS MEDICAL, P.C.
Location Address1467 ARDEN AVEStaten Island, NY 10312-5407
Mailing Address1467 Arden AveStaten Island, NY 10312-5407 · (718) 966-4864 · Fax (718) 966-4863
Phone(718) 966-4864
Fax(718) 966-4863
Organization SubpartNo
Authorized OfficialAdel S. El-hennawyOwner · (718) 966-4864
Enumeration DateDecember 1, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1629146279 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
1467 ARDEN AVE, Staten Island, NY 10312
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Goodkidneys Medical, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Goodkidneys Medical, P.C., which bills Medicare for the services this clinician delivers.

Clinician (1)

Adel El-Hennawy, M.D.
Nephrology
NPI 1861403180
2601 OCEAN PKWY
Brooklyn, NY 11235
(718) 616-4408
✔ PECOS✔ Accepts Medicare11 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Goodkidneys Medical, P.C.'s NPI number?

The NPI number for Goodkidneys Medical, P.C. is 1629146279. It was assigned to this organization in the NPPES registry on December 1, 2006.

Where is Goodkidneys Medical, P.C. located?

Goodkidneys Medical, P.C. is located at 1467 Arden Ave, Staten Island, NY 10312. The listed phone number is (718) 966-4864.

What is Goodkidneys Medical, P.C.'s specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Goodkidneys Medical, P.C. enrolled in Medicare?

Yes. Goodkidneys Medical, P.C. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Goodkidneys Medical, P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nephrology) reassigns their Medicare billing to Goodkidneys Medical, P.C.. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Goodkidneys Medical, P.C. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.