DR. PANKAJ KISHORE M.D.
NPI 1770576753
Psychiatry & Neurology - Psychiatry in Delmar, NY

Active since August 25, 2005PECOS Enrolled
413 KENWOOD AVE, DELMAR, NY 12054(518) 462-0253(518) 462-0262 Get Directions Write a Review

NPPES record last updated: June 24, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Pankaj Kishore M.d. NPPES

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

DR. PANKAJ KISHORE M.D. (NPI 1770576753) is an individual psychiatry provider in Delmar, New York, licensed in New York (231664) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1770576753
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. PANKAJ KISHORECredential: M.D.
Location Address413 KENWOOD AVEDelmar, NY 12054-3231
Mailing Address413 Kenwood AveDelmar, NY 12054-3231 · (518) 462-0253 · Fax (518) 462-0262
Fax(518) 462-0262
Sole ProprietorYes
Enumeration DateAugust 25, 2005
Last NPPES UpdateJune 24, 2015
NPI 1770576753 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License Licensed in NY · 231664
Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

413 KENWOOD AVE, Delmar, NY 12054

Other Identifiers 3

Medicare ID-Type UnspecifiedRA5692NY
Medicaid02565800NY
Medicare UPINH24867NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Pankaj Kishore M.d. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12054 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
$166.88 typical visit price
range $54.87 – $166.88
Typical copayment $41.72 (range $13.71 – $41.72)
Most-billed visit code 99205
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

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

Psychologist (Clinical)
413 KENWOOD AVE
DELMAR, NY 12054
Psychologist
413 KENWOOD AVE
DELMAR, NY 12054
Psychologist (Counseling)
413 KENWOOD AVE
DELMAR, NY 12054
Psychologist (Clinical)
413 KENWOOD AVE
DELMAR, NY 12054
Psychologist
413 KENWOOD AVE
DELMAR, NY 12054
Psychologist (Clinical)
413 KENWOOD AVE
DELMAR, NY 12054

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 Pankaj Kishore's NPI number?

The NPI number for Pankaj Kishore is 1770576753. It was assigned to this individual provider in the NPPES registry on August 25, 2005.

Where is Pankaj Kishore located?

Pankaj Kishore practices at 413 Kenwood Ave, Delmar, NY 12054. The listed phone number is (518) 462-0253.

What is Pankaj Kishore's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Pankaj Kishore enrolled in Medicare?

Yes. Pankaj Kishore is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Pankaj Kishore was last updated on June 24, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.