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DR. KAGNEW A MAMO
NPI 1831043397
Internal Medicine in Plattsburgh, NY

Active since February 23, 2026PECOS EnrolledAccepts Medicare Assignment
154 PROSPECT AVE # 12901, PLATTSBURGH, NY 12901(516) 862-1202 Get Directions Write a Review

NPPES record last updated: February 23, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Kagnew A Mamo NPPES

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

DR. KAGNEW A MAMO (NPI 1831043397) is an individual internal medicine provider in Plattsburgh, New York, licensed in New York (P140634) and active in the NPI registry since February 2026. He is enrolled in Medicare PECOS, is affiliated with Champlain Valley Physicians Hospital Medical Ctr, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1831043397
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. KAGNEW A MAMO
Location Address154 PROSPECT AVE # 12901Plattsburgh, NY 12901-1302
Mailing Address97 Elmwood St Apt 209Cambridge, MA 02140-1176
Phone(516) 862-1202
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateFebruary 23, 2026
NPPES CertifiedFebruary 23, 2026
✔ NPI 1831043397 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 · P140634
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.
154 PROSPECT AVE # 12901, Plattsburgh, NY 12901
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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. Kagnew A Mamo 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 ID6608344551
PECOS Enrollment IDI20260508001110
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.

Hospital Affiliations CMS Care Compare

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

Champlain Valley Physicians Hospital Medical Ctr

Acute Care Hospitals · Plattsburgh, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330250
Location75 Beekman StreetPlattsburgh, NY 12901 · Clinton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12901 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

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 Kagnew Mamo's NPI number?

The NPI number for Kagnew Mamo is 1831043397. It was assigned to this individual provider in the NPPES registry on February 23, 2026.

Where is Kagnew Mamo located?

Kagnew Mamo practices at 154 Prospect Ave # 12901, Plattsburgh, NY 12901. The listed phone number is (516) 862-1202.

What is Kagnew Mamo's specialty?

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

Is Kagnew Mamo enrolled in Medicare?

Yes. Kagnew Mamo 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.

Is Kagnew Mamo affiliated with any hospitals?

According to CMS data, Kagnew Mamo is affiliated with Champlain Valley Physicians Hospital Medical Ctr.

When was this NPI record last updated?

The NPPES record for Kagnew Mamo was last updated on February 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.