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

Ninan Koshy

Individual provider Surgery Physician · NPI 1063401842

Ninan Koshy is a General Surgery in New York, New York. Qualified in 1990, 36 years ago. Practices with Icahn School of Medicine at Mount Sinai, a 2,791-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
36
Licensed in
NY
In the registry since
2005
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Practice location Address checks out

1111 Amsterdam Ave
New York, NY 10025-1716
Phone: (212) 523-5295
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 2296351 (NY)

Record details

NPI number1063401842
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 14, 2005
Last updated in NPPESOctober 18, 2012

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Medical schoolOTHER
Graduated 1990 (36 years in practice)
Group practice Icahn School Of Medicine At Mount Sinai — 2791 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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