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

Kusuma Nio, MD

Individual provider Surgery Physician · NPI 1609166776

Kusuma Nio, MD is a General Surgery in New York, New York. Graduated from University of Minnesota, Duluth School of Medicine in 2011, 15 years ago. Practices with Icahn School of Medicine at Mount Sinai, a 2,791-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois and New York.

Years since qualifying
15
Trained at
University of Minnesota, Duluth School of Medicine
Licensed in
IL, NY
In the registry since
2011
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1111 Amsterdam Ave
New York, NY 10025
Phone: (212) 523-4000
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Additional practice locations (1)

  • 1111 Amsterdam Ave, New York, NY 10025 — (212) 523-4000

Specialties & licences

Trauma Surgery Physician (primary) Taxonomy 2086S0127X · Licence 268076-01 (NY)
Surgery Physician Taxonomy 208600000X · Licence 036-140884 (IL)

Record details

NPI number1609166776
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 11, 2011
Last updated in NPPESNovember 15, 2019

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolUNIVERSITY OF MINNESOTA, DULUTH SCHOOL OF MEDICINE
Graduated 2011 (15 years in practice)
Group practice Icahn School Of Medicine At Mount Sinai — 2791 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in New York