2026 NPPES data Pediatric Nephrology Physician NPI 1689068637
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KUMAIL MERCHANT

Pediatric Nephrology Physician in MINEOLA, New York. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
41
Medicare Part D claims · Pediatric Nephrology Physician avg: 97
Generic prescribing
61%
generic claims · 39% brand-name · higher generic rates reduce patient out-of-pocket costs
What the federal data reveals: KUMAIL MERCHANT is a Pediatric Nephrology Physician ([object Object]) practicing in MINEOLA, New York with a Medicare Part D prescribing footprint of 41 claims — 39% brand-name prescribing .

What the federal data shows

KUMAIL MERCHANT filed 41 Medicare Part D claims in 2023 as a Pediatric Nephrology Physician in MINEOLA, New York, prescribing 61% generic.

41
Part D claims, 2023
61%
generic prescribing

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) — no proprietary rating or editorial opinion is applied.

Board-eligible specialty (heuristic — not verified)

KUMAIL MERCHANT practices in an ABMS-board-eligible specialty but we don't have enough CMS-participation signals to confirm active board-certified status. Consult CertificationMatters.org (the official ABMS public lookup).

KUMAIL MERCHANT at a glance

Quality data not reported

NPI registry status

Active

Issued 03/26/2015

NPI 1689068637

Primary specialty

Pediatric Nephrology Physician

Niche

723 US NPIs in this specialty

Medicare Part D claims

41 58% vs specialty avg

2023 prescription claims

Specialty avg: 97

Specialty distribution in New York

How Pediatric Nephrology Physician compares to other specialties among New York providers

New York providers

Pediatric Nephrology Physician share within New York

1. Pediatric Nephrology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Pediatric Nephrology Physician share within New York

Specialty board-certification context

Estimated specialty board-certified rate — Pediatric Nephrology Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Pediatric Nephrology Physician ABMS/AOA estimate

Est. board-certified rate (Pediatric Nephrology Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Pediatric Nephrology Physician) — ABMS / AOA estimate

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

KUMAIL MERCHANT is a Pediatric Nephrology Physician provider practicing in MINEOLA, New York, according to the CMS National Plan and Provider Enumeration System (NPPES). NPI: 1689068637. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

KUMAIL MERCHANT appears in the CMS NPPES registry as a Pediatric Nephrology Physician provider at 173 MINEOLA BLVD STE 101, MINEOLA, NY, 11501, with a listed phone of (516) 663-9494. NPI 1689068637 was issued on 03/26/2015. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what MERCHANT most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 41 prescription claims written by this provider, covering N/A Medicare beneficiaries and totaling roughly $305K in drug spend, split 39% brand-name and 61% generic by claim count. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy.

Pediatric Nephrology Physician is a narrow specialty nationwide, with 723 enrolled providers across 50 states and an average of 97 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

173 MINEOLA BLVD STE 101
MINEOLA, NY 11501

Provider Details

NPI 1689068637
Specialty Pediatric Nephrology Physician
Gender Male
NPI Issued 03/26/2015

License & disciplinary context — New York NYSBPMC 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~100K New York medical licensees in 2023 — they are NOT specific to KUMAIL MERCHANT. To verify KUMAIL MERCHANT's current license status, search the NYSBPMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

312
Total board actions, New York 2023
Across 302 cases
3.12
Actions per 1,000 licensees
New York statewide rate
probation
Most common action type
89 cases

NYSBPMC publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the New York disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Above average

KUMAIL MERCHANT — brand share 39.0%
Specialty average (est.)

39% brand-name claims vs 61% generic, on 41 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

41
Total Claims
$305K
Total Drug Cost
N/A
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
50
Total Day Supply
1,450
Brand vs Generic
39% brand / 61% generic
Brand Drug Cost
$305K
Generic Drug Cost
$495

Patient Demographics

Average Patient Age
20.0 years
Avg HCC Risk Score
3.45

Pediatric Nephrology Physician Overview

How KUMAIL MERCHANT fits within the Pediatric Nephrology Physician landscape nationally.

723
Pediatric Nephrology Physician Providers in US
50
States with Pediatric Nephrology Physician
97
Avg Claims per Provider

KUMAIL MERCHANT's 41 claims are below the specialty average of 97.

Nearby Pediatric Nephrology Physician Providers in New York

Other clinicians with the same primary specialty enrolled in New York, drawn from the same CMS NPPES roster as MERCHANT.

Compare Pediatric Nephrology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is KUMAIL MERCHANT's specialty?
KUMAIL MERCHANT specializes in Pediatric Nephrology Physician and practices in MINEOLA, New York.
How much does KUMAIL MERCHANT prescribe under Medicare Part D?
In 2023, KUMAIL MERCHANT wrote 41 Medicare Part D claims totaling $305K in drug costs for N/A beneficiaries.
Where is KUMAIL MERCHANT located?
KUMAIL MERCHANT is located at 173 MINEOLA BLVD STE 101, MINEOLA, NY, 11501. Phone: (516) 663-9494.
What is KUMAIL MERCHANT's NPI number?
KUMAIL MERCHANT's National Provider Identifier (NPI) is 1689068637, issued on 03/26/2015.
Does KUMAIL MERCHANT prescribe more brand-name or generic drugs?
KUMAIL MERCHANT's prescribing is 39% brand-name and 61% generic drugs by claim count, with $305K in brand drug costs.
How many Pediatric Nephrology Physician providers are there in the US?
There are 723 Pediatric Nephrology Physician providers across 50 states in the US. The average Pediatric Nephrology Physician provider writes 97 Medicare Part D claims per year.
Does KUMAIL MERCHANT accept Medicare?
KUMAIL MERCHANT appears in CMS Medicare data with 41 Part D claims and N/A Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify KUMAIL MERCHANT's credentials?
KUMAIL MERCHANT's NPI is 1689068637. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology