KELLY M. AXSOM MD – NPI #1841459997
Internal Medicine

Specialists in Advanced Heart Failure and Transplant Cardiology would participate in the inpatient and outpatient management of patients with advanced heart failure across the spectrum from consideration for high-risk cardiac surgery, cardiac transplantation, or mechanical circulatory support, to pre-and post-operative evaluation and management of patients with cardiac transplants and mechanical support devices, and end-of-life care for patients with end-stage heart failure.

KELLY AXSOM is a physician located in NEW YORK, NY. NPPES has assigned the NPI number 1841459997 to KELLY AXSOM on June 04, 2008. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 207RA0001X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Advanced Heart Failure and Transplant Cardiology

The NPI profile was previously updated about 8 years ago on Jun 19, 2018. 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 KELLY AXSOM below.

NPI Profile for
KELLY M. AXSOM

NPI Number
1841459997
Enumeration Date

(more than 18 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
KELLY M. AXSOM
Credentials
MD
Primary location
622 W 168TH ST
NEW YORK, NY 10032
Phone: (646) 317-2268 Fax:
Mailing address
630 W 168TH ST
BOX 4
NEW YORK, NY 10032-3725
Phone: (646) 317-2268 Fax:
Sole Proprietor
No
Updated
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
207RA0001X
- Internal Medicine / Advanced Heart Failure and Transplant Cardiology (Primary)
NY 258685

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.

Additional Information

Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
KELLY AXSOM is affiliated with the following medical group(s):
  • HOSPITAL
    • NEW YORK-PRESBYTERIAN HOSPITAL
      525 EAST 68TH STREET
      NEW YORK, NY 10065

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