Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Kagnew A Mamo

Individual provider Internal Medicine Physician · NPI 1831043397

Dr. Kagnew A Mamo is an Internal Medicine in Plattsburgh, New York. Qualified in 2015, 11 years ago. Practices with Mill Basin Medical Health PC, a 101-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
11
Licensed in
NY
In the registry since
2026
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

154 Prospect Ave # 12901
Plattsburgh, NY 12901-1302
Phone: (516) 862-1202
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence P140634 (NY)

Record details

NPI number1831043397
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedFebruary 23, 2026
Last updated in NPPESFebruary 23, 2026
Certification dateFebruary 23, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Mill Basin Medical Health Pc — 101 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Plattsburgh