MR. KELVIN OMONZANE
NPI 1942716469
Nurse Practitioner - Family in Brooklyn, NY
About Mr. Kelvin Omonzane NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. KELVIN OMONZANE (NPI 1942716469) is an individual family provider in Brooklyn, New York, licensed in New York (338383) and active in the NPI registry since December 2017. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mr. Kelvin Omonzane is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
5Medicare enrollment records show Kelvin Omonzane reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
New York, NY 10041
- Reassigned Medicare billing, New York enrollment
- 79 clinicians in this Medicare group
Staten Island, NY 10314
- Reassigned Medicare billing, New York enrollment
- 43 clinicians in this Medicare group
Jamaica, NY 11418
- Reassigned Medicare billing, New York enrollment
- 738 clinicians in this Medicare group
Ballston Lake, NY 12019
- Reassigned Medicare billing, New York enrollment
- Also billed through NPI 1386067601 (New York), NPI 1629415740 (New York)
- 456 clinicians in this Medicare group
Ballston Spa, NY 12020
- Reassigned Medicare billing, New York enrollment
- 98 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 11220 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BROOKLYN, NY 11220
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 Kelvin Omonzane's NPI number?
The NPI number for Kelvin Omonzane is 1942716469. It was assigned to this individual provider in the NPPES registry on December 19, 2017.
Where is Kelvin Omonzane located?
Kelvin Omonzane practices at 6323 7th Ave, Brooklyn, NY 11220. The listed phone number is (718) 654-3561.
What is Kelvin Omonzane's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Kelvin Omonzane enrolled in Medicare?
Yes. Kelvin Omonzane is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Kelvin Omonzane's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelvin Omonzane reassigns Medicare benefits to 5 organizations: Mjhs Medical Associates (New York, NY), Rd Medical Professional Services PC (Staten Island, NY), Jamaica Hospital (Jamaica, NY), Saratoga Hospital (Ballston Lake, NY) and Saratoga Regional Medical , P.C (Ballston Spa, NY). Each 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 Kelvin Omonzane's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kelvin Omonzane was last updated on February 16, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Mr. Kelvin Omonzane · NPI 1942716469
Family physician in Brooklyn, New York. Individual provider, active in the CMS NPPES registry since December 19, 2017.
## Identity
- **NPI:** 1942716469 (Entity type: Individual)
- **Enumerated:** December 19, 2017
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 338383 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 6323 7TH AVE, Brooklyn, NY 11220-4743
- **Phone:** (718) 654-3561
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Mjhs Medical Associates (NPI 1013208602, New York, NY); Rd Medical Professional Services PC (NPI 1811643166, Staten Island, NY); Jamaica Hospital (NPI 1477505220, Jamaica, NY); Saratoga Hospital (NPI 1437418795, Ballston Lake, NY); Saratoga Regional Medical , P.C (NPI 1902545148, Ballston Spa, NY) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 16, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1942716469) · Data from the CMS NPPES public registry.