Individual provider Active NPI

Elif N Erim, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Utica, NY
National Provider Identifier
1003842584
Registry record updated Jul 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
246748-1 Issued in NY
Practice address
2150 Bleecker St
Utica, NY 13501-1788
Phone
(315) 798-4955
Fax
(315) 798-4740
NPI assigned
Jun 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 246748-1 NY
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 246748-1 NY Primary

Addresses

Primary practice location

2150 Bleecker St
Utica, NY 13501-1788

Mailing address

114 Virburnum la
New Hartford, NY 13413
Phone (315) 734-9354

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040519000746 NY Practitioner - Geriatric MedicinePractitioner - Internal Medicine 9133110117 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Geriatric MedicineAlso: Internal Medicine
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trustees of the Masonic Hall and Asylum FundGroup PAC ID 3779575147, 4 clinicians

Practice addresses (Care Compare)

2150 Bleecker St
Utica, NY 13501-1738
Phone (315) 798-4811

Hospital & facility affiliations

  • Wynn Hospital Hospital, Utica, NY, CCN 330044
  • Masonic Care Community of New York Nursing home, Utica, NY, CCN 335541

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
1561NYMDAcupuncturist
246748-1NYMDGeriatric Medicine (Internal Medicine) Physician
001561NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Trustees of the Masonic Hall and Asylum Fund CurrentSince Jun 30, 2009 Accepting new patients

Locations

2150 Bleecker St
Utica, NY 13501
Phone (315) 798-4800

Interoperability endpoints

  • Direct secure messaging: eerim@hiemail.healtheconnections.org

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248825600000",
    "number": "1003842584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 VIRBURNUM LA",
            "city": "NEW HARTFORD",
            "state": "NY",
            "postal_code": "13413",
            "telephone_number": "315-734-9354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 BLEECKER ST",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135011788",
            "telephone_number": "315-798-4955",
            "fax_number": "315-798-4740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERIM",
        "first_name": "ELIF",
        "middle_name": "N",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-24",
        "last_updated": "2009-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "246748-1",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NY",
            "license": "246748-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Utica, NY

Sources for this page

Verify at the official NPI Registry.