Look up the most recent NPI and PECOS records

Kenneth M Fifer

Internal Medicine

Allopathic & Osteopathic Physicians

PECOS Enrollment

This provider is enrolled in PECOS as KENNETH FIFER.

Based on the most recent information from CMS, provider Kenneth M Fifer is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 6 days ago.

Profile Details

Provider ID
1134546195
Provider Type
Individual
Full Name
Fifer, Kenneth M
Credential
MD

Gender
Male
Sole Proprietor
No
Enumeration Date
3/27/2014
Last Updated
4/13/2017

Contact Information

Practice Location

17 E 102nd St, New York, NY 10029-5204

(212) 659-8551

Unlisted Fax

Mailing Location

1 Gustave L Levy Pl, Box 3000, New York, NY 10029-6504

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207R00000X Primary	Description Internal Medicine Allopathic & Osteopathic Physicians	License 287122 New York
Code 390200000X	Description Student in an Organized Health Care Education/Training Program Student, Health Care	License Unlisted Issuer

Kenneth M Fifer

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Shah, Divya

Icahn School Of Medicine At Mount Sinai

Kwa, Winston C.

Mccoy, Brenda Helen

Escobar, Christian

Allyn, Katherine

Adler, Rhodes S

Bickell, Nina A

Koster, Kyle Michael

Sow, Sire