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KEVIN LLIGUISUPA
NPI 1659176899
Physician Assistant - Medical in Whitestone, NY

Active since February 13, 2025PECOS EnrolledAccepts Medicare Assignment
1752 FRANCIS LEWIS BLVD, WHITESTONE, NY 11357(718) 746-9494 Get Directions Write a Review

NPPES record last updated: February 13, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Kevin Lliguisupa NPPES

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

KEVIN LLIGUISUPA (NPI 1659176899) is an individual medical provider in Whitestone, New York, licensed in New York (033239) and active in the NPI registry since February 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1659176899
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameKEVIN LLIGUISUPA
Location Address1752 FRANCIS LEWIS BLVDWhitestone, NY 11357-3247
Mailing Address1752 Francis Lewis BlvdWhitestone, NY 11357-3247
Phone(718) 746-9494
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateFebruary 13, 2025
NPPES CertifiedFebruary 13, 2025
✔ NPI 1659176899 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in NY · 033239
1752 FRANCIS LEWIS BLVD, Whitestone, NY 11357
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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

Kevin Lliguisupa 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 ID4688199896
PECOS Enrollment IDI20250421002046
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.

Other Providers at the Same Location NPPES 17

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

KHALID ABOELMAATY PT
Physical Therapist
1752 FRANCIS LEWIS BLVD
WHITESTONE, NY 11357
Queens County (917) 724-4330
MRS. AMALIA KOVOROS P.A.-C
Physician Assistant (Medical)
1752 FRANCIS LEWIS BLVD
WHITESTONE, NY 11357
Queens County (718) 746-9494
DR. DINA KAYE MILLER M.D.
Physical Medicine & Rehabilitation
1752 FRANCIS LEWIS BLVD
WHITESTONE, NY 11357
Queens County (718) 746-9494
NEW YORK NEUROSURGERY & NEUROSCIENCE ASSOCIATES
Neurological Surgery
1752 FRANCIS LEWIS BLVD
WHITESTONE, NY 11357
Queens County (516) 255-0350
REAL PHYSICAL THERAPY PLLC
Physical Therapist
1752 FRANCIS LEWIS BLVD
WHITESTONE, NY 11357
Queens County (718) 746-9494
MEDHAT F SAMI MD PC
Internal Medicine
1752 FRANCIS LEWIS BLVD
WHITESTONE, NY 11357
Queens County (718) 746-9494
RWAN PT PC
Physical Therapist
1752 FRANCIS LEWIS BLVD
WHITESTONE, NY 11357
Queens County (917) 816-7459
NEW YORK INTERNAL MEDICINE, P.C.
Internal Medicine
1752 FRANCIS LEWIS BLVD
WHITESTONE, NY 11357
Queens County (718) 746-9494

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 Kevin Lliguisupa's NPI number?

The NPI number for Kevin Lliguisupa is 1659176899. It was assigned to this individual provider in the NPPES registry on February 13, 2025.

Where is Kevin Lliguisupa located?

Kevin Lliguisupa practices at 1752 Francis Lewis Blvd, Whitestone, NY 11357. The listed phone number is (718) 746-9494.

What is Kevin Lliguisupa's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Kevin Lliguisupa enrolled in Medicare?

Yes. Kevin Lliguisupa 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.

When was this NPI record last updated?

The NPPES record for Kevin Lliguisupa was last updated on February 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.