MOUNT KISCO MEDICAL GROUP PC – NPI #1790904878
Internal Medicine

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

MOUNT KISCO MEDICAL GROUP PC is a provider located in KATONAH, NY. NPPES has assigned the NPI number 1790904878 to MOUNT KISCO MEDICAL GROUP PC on April 25, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207R00000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine.

The NPI profile was last updated on Sep 11, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MOUNT KISCO MEDICAL GROUP PC below.

NPI Profile for
MOUNT KISCO MEDICAL GROUP PC

NPI Number
1790904878
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MOUNT KISCO MEDICAL GROUP PC
Primary location
111 BEDFORD RD
KATONAH, NY 10536
Phone: (914) 232-3135 Fax:
Mailing address
90 SOUTH BEDFORD RD
MOUNT KISCO, NY 10549
Phone: (914) 241-1050 Fax:
Organization Subpart
No
Authorized Official
SUSAN MONACO
BILLING DIRECTOR
Phone: (914) 241-1050
Updated
Identifiers

Identifiers for MOUNT KISCO MEDICAL GROUP PC

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
medicaidNY00547351
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207R00000X
- Internal Medicine (Primary)
208800000X
- Urology
208000000X
- Pediatrics
207RP1001X
- Internal Medicine / Pulmonary Disease

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.