DR. KENNEDY ONOME OMONUWA M.D
NPI 1730389172
Internal Medicine in New Hyde Park, NY

Q: What is Kennedy Omonuwa's NPI number?

The NPI number for Kennedy Omonuwa is 1730389172. It was assigned to this individual provider in the NPPES registry on July 24, 2007.

Q: What is Kennedy Omonuwa's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Kennedy Omonuwa was last updated on July 24, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since July 24, 2007PECOS EnrolledAccepts Medicare Assignment

410 LAKEVILLE RD STE 107, NEW HYDE PARK, NY 11042(516) 465-5400(516) 465-5454 Get Directions Write a Review

NPPES record last updated: July 24, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Kennedy Onome Omonuwa M.d NPPES

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

DR. KENNEDY ONOME OMONUWA M.D (NPI 1730389172) is an individual internal medicine provider in New Hyde Park, New York, licensed in New York (245036) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS, is affiliated with Lincoln Medical & Mental Health Center, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1730389172

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. KENNEDY ONOME OMONUWACredential: M.D

Location Address410 LAKEVILLE RD STE 107New Hyde Park, NY 11042-1102

Mailing Address410 Lakeville Rd Ste 107New Hyde Park, NY 11042-1102 · (516) 465-5400 · Fax (516) 465-5454

Phone(516) 465-5400

Fax(516) 465-5454

Sole ProprietorNo

Medical School CMSOtherGraduated 1998

Enumeration DateJuly 24, 2007

✔ NPI 1730389172 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in NY · 245036

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

410 LAKEVILLE RD STE 107, New Hyde Park, NY 11042

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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

Dr. Kennedy Onome Omonuwa 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 ID4284704040

PECOS Enrollment IDI20080605000140

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 3

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

39 services21 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

22 services20 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

21 services21 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Lincoln Medical & Mental Health Center

Acute Care Hospitals · Bronx, NY

1/5 CMS rating

OwnershipGovernment - Local

CMS Certification Number330080

Location234 East 149th StreetBronx, NY 10451 · Bronx County

Emergency services Birthing friendly

Long Island Jewish Medical Center

Acute Care Hospitals · New Hyde Park, NY

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330195

Location270 - 05 76th AvenueNew Hyde Park, NY 11040 · Nassau County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11042 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

$154.28 typical visit price

range $67.40 – $203.53

Typical copayment $38.57 (range $16.85 – $50.88)

Most-billed visit code 99204

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.

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Other Providers at the Same Location NPPES 11

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

MADELEINE BASIST MD

Internal Medicine (Pulmonary Disease)