ARTHUR A KORNBLUTH MD
NPI 1104835784
Internal Medicine - Gastroenterology in New York, NY
NPI Status: Active since August 05, 2006
Contact Information
1751 YORK AVE
NEW YORK, NY
ZIP 10128
Phone: (212) 369-2490
Fax: (212) 987-9676
- Individual
- Male
- Internal Medicine
- Gastroenterology
- PECOS Enrolled
- Opted-Out Medicare
About ARTHUR KORNBLUTH
This page provides the complete NPI Profile along with additional information for Arthur Kornbluth, an internist established in New York, New York with a medical specialization in Internal Medicine, focusing in gastroenterology . The healthcare provider is registered in the NPI registry with number 1104835784 assigned on August 2006. The practitioner's primary taxonomy code is 207RG0100X with license number 165586 (NY). The provider is registered as an individual and his NPI record was last updated 18 years ago.
- NPI
- 1104835784
- Provider Name
- ARTHUR A KORNBLUTH MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1751 YORK AVE NEW YORK, NY 10128
- Location Phone
- (212) 369-2490
- Location Fax
- (212) 987-9676
- Mailing Address
- 1751 YORK AVE NEW YORK, NY 10128
- Mailing Phone
- (212) 369-2490
- Mailing Fax
- (212) 987-9676
- Is Sole Proprietor?
- No
- Enumeration Date
- 08-05-2006
- Last Update Date
- 07-08-2007
- Code Navigator
An internist like Arthur Kornbluth is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Arthur Kornbluth opted out of Medicare effective on 12-18-2015 until 12-18-2025. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare but is permitted to order and refer services to other healthcare providers.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine Gastroenterology
- Taxonomy Code
- 207RG0100X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 165586
- License State
- NY
- Taxonomy Description
- An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| WCW641 | MEDICARE ID-TYPE UNSPECIFIED (04) | NY | |
| A63841 | MEDICARE UPIN (02) | NY |
Medicare Participation & PECOS Enrollment Status
Arthur Kornbluth is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 12-18-2015
Opt-Out End Date: 12-18-2025
Eligible to Order and Refer? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Provider Referred Orders for Durable Medical Equipment, Devices & Supplies
The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.
Orthotic Devices
DME-Orthotic Devices (DF010N)
Skin barrier; solid, 4 x 4 or equivalent; each (HCPCS:A4362)
3 DME suppliers used 12 Medicare Claims 250 Services Paid
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 10128 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $150.24
- Minimum New Patient Price $65.69
- Maximum New Patient Price $198.19
- Average New Patient Copayment $37.56
- Minimum New Patient Copayment $16.42
- Maximum New Patient Copayment $49.54
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $114.88
- Minimum Established Patient Price $21.2
- Maximum Established Patient Price $160.66
- Average Established Patient Copayment $28.72
- Minimum Established Patient Copayment $5.3
- Maximum Established Patient Copayment $40.16
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 0 | 4 | 8 | 3 | 5 | 7 | 8 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 0 | 4 | 16 | 3 | 10 | 7 | 16 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 0 + 4 + 1 + 6 + 3 + 1 + 0 + 7 + 1 + 6 + 24 = 56 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 56 = 4 | 4 | ||||||||
The NPI number 1104835784 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 13 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1275736217 | MICHELE KISSOUS-HUNT PA Individual | Physician Assistant (Medical) | 1751 YORK AVE NEW YORK, NY 10128 (212) 369-2490 |
| 1255597969 | YORK AVENUE MEDICAL SERVICES, P.C. Organization | Anesthesiology | 1751 YORK AVE NEW YORK, NY 10128 (718) 672-2824 |
| 1982846762 | YORK AVENUE MEDICAL SERVICES, PC Organization | Pathology (Clinical Pathology) | 1751 YORK AVE NEW YORK, NY 10128 (212) 369-2490 |
| 1043545759 | ANGELA CUTRONE M.D. Individual | Anesthesiology | 1751 YORK AVE NEW YORK, NY 10128 (212) 369-2490 |
| 1659380244 | DR. JAMES GEORGE MD Individual | Internal Medicine (Gastroenterology) | 1751 YORK AVE NEW YORK, NY 10128 (212) 369-2490 |
| 1407855612 | ROBERT MATTHEW GELFAND M.D. Individual | Internal Medicine (Hematology & Oncology) | 1751 YORK AVE NEW YORK, NY 10128 (212) 879-3496 |
| 1932108875 | RACHEL VIVIAN KRAMER M.D. Individual | Internal Medicine (Hematology & Oncology) | 1751 YORK AVE NEW YORK, NY 10128 (212) 879-3496 |
| 1336234392 | RICHARD RP WARNER MD PC Organization | Internal Medicine (Gastroenterology) | 1751 YORK AVE NEW YORK, NY 10128 (212) 722-2100 |
| 1750583159 | YORK AVENUE GASTRO OBS ASSOCIATES, PC Organization | Internal Medicine (Gastroenterology) | 1751 YORK AVE NEW YORK, NY 10128 (212) 369-9174 |
| 1922287390 | EAST SIDE ONCOLOGY ASSOCIATES PLLC DBA AMERICAN INFUSION CENTER Organization | Internal Medicine (Hematology & Oncology) | 1751 YORK AVE NEW YORK, NY 10128 (212) 879-3496 |
| 1275295172 | RACHEL MILGRAUM Individual | Nurse Practitioner (Adult Health) | 1751 YORK AVE NEW YORK, NY 10128 (973) 704-9704 |
| 1063146140 | JESSICA FAY A ALI AGNP-C, OCN Individual | Nurse Practitioner (Adult Health) | 1751 YORK AVE NEW YORK, NY 10128 (212) 879-3496 |
| 1760297634 | ALEXIS TERESA KEARNEY FNP Individual | Nurse Practitioner (Family) | 1751 YORK AVE NEW YORK, NY 10128 (212) 879-3496 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104835784, enumerated in the NPI registry as an "individual" on August 05, 2006
The provider is located at 1751 York Ave New York, Ny 10128 and the phone number is (212) 369-2490
The provider's speciality is Internal Medicine with taxonomy code 207RG0100X with a focus in Gastroenterology
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $150.24 with an average copayment of $37.56 for new patient appointments. Established patients should expect a typical charge of $114.88 and an average copayment of 28.72. Please review your insurance plan or contact the provider directly to determine your specific costs.
No, the provider signed an affidavit on December 18, 2015 to opt-out of the Medicare program. The provider is excluded from the Medicare program until December 18, 2025.
This NPI record was last updated on August 05, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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