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DR. KUMAR S MANDAL M.D.
NPI 1689676884
Family Medicine - Adult Medicine in Shirley, NY

Active since June 01, 2005PECOS EnrolledAccepts Medicare Assignment
2 CORACI BLVD, STE 10, SHIRLEY, NY 11967(631) 281-2600(631) 281-6732 Get Directions Write a Review

NPPES record last updated: June 2, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Kumar S Mandal M.d. NPPES

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

DR. KUMAR S MANDAL M.D. (NPI 1689676884) is an individual adult medicine provider in Shirley, New York, licensed in New York (182787) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS and is a graduate of Other (1980).

NPPES Registry Identity

NPI1689676884
Entity TypeIndividualMale
Primary Taxonomy207QA0505X
Provider Legal NameDR. KUMAR S MANDALCredential: M.D.
Location Address2 CORACI BLVD, STE 10Shirley, NY 11967-4833
Mailing Address2 Coraci Blvd, Ste 10Shirley, NY 11967-4833 · (631) 281-2600 · Fax (631) 281-6732
Phone(631) 281-2600
Fax(631) 281-6732
Sole ProprietorYes
Medical School CMSOtherGraduated 1980
Enumeration DateJune 1, 2005
Last NPPES UpdateJune 2, 2015
✔ NPI 1689676884 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Adult MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QA0505X
License✔ Licensed in NY · 182787
Definition
The National Uniform Claim Committee (NUCC) recommends code 207QA0505X not be used. Choose a more appropriate code.
2 CORACI BLVD, Shirley, NY 11967
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Other Identifiers 3

Medicaid01519864NY
Medicare UPINF61762NY
Medicare ID-Type Unspecified0234J1NY

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

Dr. Kumar S Mandal M.d. 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 ID1456322965
PECOS Enrollment IDI20040805001084
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 9

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.
131 services69 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.
59 services42 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
52 services45 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
36 services16 patients
Management using the results of remote vital sign monitoring per calendar month, first 20 minutes 99457
This service involves reviewing and managing your health data, which is remotely monitored and collected. Your vital signs like heart rate and blood pressure are tracked regularly throughout the month. The first 20 minutes of this data analysis per month is included in this service.
28 services14 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
27 services24 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11967 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
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers28 claims71 services$5.58 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers12 claims19 services$1.18 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
1 supplier12 claims12 services$24.41 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers21 claims21 services$64.49 avg. paid by Medicare
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620
DME-Drugs Administered Through DME · category DG006N
1 supplier11 claims1,320 services$0.09 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 18

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

PHILIP J. MAKOWSKI, MD, PLLC
Exclusive Provider Organization
2 CORACI BLVD, SUITE 17
SHIRLEY, NY 11967
Suffolk County (631) 395-9144
NAGORAO V KARHADE M.D , FACC
Internal Medicine (Cardiovascular Disease)
2 CORACI BLVD, SUITE 8
SHIRLEY, NY 11967
Suffolk County (631) 399-6003
CHRISTOPHER HORSFORD MSPT
Physical Therapist
2 CORACI BLVD, SUITE 2
SHIRLEY, NY 11967
Suffolk County (631) 395-9090
DR. NEERU KUMAR M.D.
Internal Medicine (Nephrology)
2 CORACI BLVD, STE 11
SHIRLEY, NY 11967
Suffolk County (516) 395-9793
DR. HEBBALMATH M THIPPESWAMY MD
Internal Medicine (Nephrology)
2 CORACI BLVD, SUITE # 9
SHIRLEY, NY 11967
Suffolk County (631) 281-4861
ANTHONY TOMASSO, DO PLLC
Family Medicine
2 CORACI BLVD, STE #4
SHIRLEY, NY 11967
Suffolk County (631) 281-8670
CHRISTOPHER HORSFORD PT PC
Physical Therapist
2 CORACI BLVD, SUITE 2
SHIRLEY, NY 11967
Suffolk County (631) 395-9090
KUMAR S MANDAL MD PC
Family Medicine
2 CORACI BLVD
SHIRLEY, NY 11967
Suffolk County (631) 281-2600

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 Kumar Mandal's NPI number?

The NPI number for Kumar Mandal is 1689676884. It was assigned to this individual provider in the NPPES registry on June 1, 2005.

Where is Kumar Mandal located?

Kumar Mandal practices at 2 Coraci Blvd Ste 10, Shirley, NY 11967. The listed phone number is (631) 281-2600.

What is Kumar Mandal's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Adult Medicine, with taxonomy code 207QA0505X.

Is Kumar Mandal enrolled in Medicare?

Yes. Kumar Mandal 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 Kumar Mandal was last updated on June 2, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.