Kagnew A. Mamo
NPI 1831043397ActiveIndividual· Internal Medicine· Plattsburgh, NY
Internal Medicine with Mill Basin Medical Health PC, practicing in Plattsburgh, New York. Enrolled in Medicare as practitioner - internal medicine. Lists The University of Vermont Health Network - Champl as a hospital affiliation.
Overview
| NPI | 1831043397 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Feb 23, 2026 |
| Last updated in NPPES | Feb 23, 2026 |
| Certified by provider | Feb 23, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | P140634 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Internal Medicine (NY) |
|---|
Education and affiliations
| Graduation year | 2015 |
|---|---|
| Medicare specialty | Internal Medicine |
Medical group
- Mill Basin Medical Health PCGreat Neck, NY · 111 clinicians
Hospital affiliation
- The University of Vermont Health Network - ChamplPlattsburgh, NY
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 46 internal medicine physicians in Plattsburgh · All internal medicine physicians in New York