1. Home
  2. Directory
  3. New York
  4. Mineola
  5. Pediatrics
  6. NPI Profile

KUMAIL MERCHANT
NPI 1689068637
Pediatrics - Pediatric Nephrology in Mineola, NY

Active since March 26, 2015PECOS Enrolled
173 MINEOLA BLVD STE 101, MINEOLA, NY 11501(516) 663-9494(516) 663-2835 Get Directions Write a Review

NPPES record last updated: April 25, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Kumail Merchant NPPES

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

KUMAIL MERCHANT (NPI 1689068637) is an individual pediatric nephrology provider in Mineola, New York, licensed in New York (294991) and active in the NPI registry since March 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689068637
Entity TypeIndividualMale
Primary Taxonomy2080P0210X
Provider Legal NameKUMAIL MERCHANT
Location Address173 MINEOLA BLVD STE 101Mineola, NY 11501-2529
Mailing Address173 Mineola Blvd Ste 101Mineola, NY 11501-2529 · (516) 663-9494 · Fax (516) 663-2835
Phone(516) 663-9494
Fax(516) 663-2835
Sole ProprietorNo
Enumeration DateMarch 26, 2015
Last NPPES UpdateApril 25, 2023
NPPES CertifiedApril 25, 2023
✔ NPI 1689068637 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0210X
License✔ Licensed in NY · 294991
Definition
A pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy.
173 MINEOLA BLVD STE 101, Mineola, NY 11501
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kumail Merchant is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Kumail Merchant reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

New York University
1,045 mi
Cardiovascular Disease
3301 QUANTUM BLVD
Boynton Beach, FL 33426
  • Reassigned Medicare billing, New York enrollment
  • 2,450 clinicians in this Medicare group
NPI 1285826438 (877) 648-2964

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

Other Providers at the Same Location NPPES 2

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

CHAULA SUNIL KHARODE M.D.
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
173 MINEOLA BLVD STE 101
MINEOLA, NY 11501
Nassau County (516) 663-9494
MANJU CHANDRA MD
Pediatrics (Pediatric Nephrology)
173 MINEOLA BLVD STE 101
MINEOLA, NY 11501
Nassau County (516) 663-9494

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 Kumail Merchant's NPI number?

The NPI number for Kumail Merchant is 1689068637. It was assigned to this individual provider in the NPPES registry on March 26, 2015.

Where is Kumail Merchant located?

Kumail Merchant practices at 173 Mineola Blvd Ste 101, Mineola, NY 11501. The listed phone number is (516) 663-9494.

What is Kumail Merchant's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Nephrology, with taxonomy code 2080P0210X.

Is Kumail Merchant enrolled in Medicare?

Yes. Kumail Merchant is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kumail Merchant's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kumail Merchant reassigns Medicare benefits to New York University (Boynton Beach, FL). The 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 Kumail Merchant's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kumail Merchant accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Kumail Merchant as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kumail Merchant was last updated on April 25, 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.