NPI Details
DR. Kenneth S Etra, M.D. is an otolaryngology in Great Neck, NY with 51 years of experience. The provider is an otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise. DR. Kenneth S Etra, M.D. NPI is 1225012313. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a male.
Education
Medical School: TUFTS UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1975
The provider's business location address is:
560 NORTHERN BLVD
GREAT NECK, NY
ZIP 11021-100
Phone: (516) 487-6200
Fax: (516) 487-6329
The NPI 1225012313 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.
- Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
- Placement of ear probe for computerized measurement of sound with interpretation and report (HCPCS:92587)
- Test for eardrum and muscle function (HCPCS:92550)
- Comprehensive hearing and speech recognition test (HCPCS:92557)
- Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing (HCPCS:G0268)
- Study of nasal function (HCPCS:92512)
- Diagnostic exam of nasal passages using an endoscope (HCPCS:31231)
- Diagnostic exam of voice box using a flexible endoscope (HCPCS:31575)
- Removal of impacted ear wax (HCPCS:69210)
- Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
- New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
- Test to measure expiratory airflow and volume (HCPCS:94010)
- New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
- Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
- Simple control of nose bleed (HCPCS:30901)
- Evaluation, recording, and interpretation of swallowing and voice box sensory function using an endoscope (HCPCS:92617)
- Test to measure expiratory airflow and volume changes before and after medication administration (HCPCS:94060)
- Evaluation of swallowing function (HCPCS:92610)
- Evaluation and recording of swallowing and voice box sensory function using an endoscope (HCPCS:92616)
- Test for ability to detect and repeat spoken words (HCPCS:92555)
- Test for hearing various pitches using earphone (HCPCS:92552)
- Control of bleeding of nose using an endoscope (HCPCS:31238)
- Exam to assess movement of vocal cord flaps using an endoscope (HCPCS:31579)
- Repositioning exercises of head for treatment of dizziness, each day (HCPCS:95992)
The enumeration date for this NPI number is 12/1/2005 and was last updated on 7/9/2007.
Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 207Y00000X | Otolaryngology | | 127393 | NEW YORK | Yes |
Other Identifiers
The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.
| No. |
Other Provider Identifier |
Other Provider Identifier Type |
Other Provider Identifier State |
Other Provider Identifier Issuer |
| 1 | 19A661 | MEDICARE ID-TYPE UNSPECIFIED | NEW YORK | M.D. |
| 2 | B10723 | MEDICARE UPIN | NEW YORK | |
