Active NPI
Susan M Fiore, MD
- Family Medicine Physician
- Andes, NY
National Provider Identifier
1003869884
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 201438
- Practice address
- 245 Lower Main St
Andes, NY 13731 - Phone
- (845) 676-3663
- Fax
- (845) 676-3665
- NPI assigned
- May 19, 2006
- Last updated
- Apr 26, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 201438 | NY | Primary |
Addresses
Primary practice location
245 Lower Main St
Andes, NY 13731
Mailing address
245 Lower Main St
Andes, NY 13731
Phone (845) 676-3663
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000201438 | Medicaid | NY |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- State University of New York Downstate Medical Center, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
245 Main St
Andes, NY 13731-7132
Phone (845) 676-3663
Hospital & facility affiliations
- HCR / HCR Home Care Chha (Oneonta)
- Bassett Healthcare
- O'Connor Hospital
- Margaretville Memorial Hospital
- Aurelia Osborn Fox Memorial Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.62 of 100
- Quality
- 77.97
- Promoting interoperability
- 98
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.62 of 100
- Quality
- 77.97
- Promoting interoperability
- 98
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 201438 | NY | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mary Imogene Bassett Hospital | Current | Accepting new patients | |
| Mary Imogene Bassett Hospital | Current | Accepting new patients |
Locations
178 Grandview Dr
Cobleskill, NY 12043
Phone (518) 254-3456
1 Atwell Rd
Cooperstown, NY 13326
Phone (607) 547-3480
130 North St
Walton, NY 13856
Phone (607) 865-6541
Interoperability endpoints
- sfiore5301@bassett.direct-ci.net
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Bassett Medical Center
- Multi-Specialty Clinic/Center
- Cooperstown, NY
- NPI 1083664221
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Oneonta, NY
- NPI 1578529954
-
- Critical Access Hospital
- Margaretville, NY
- NPI 1164473039
-
dba Bassett Healthcare
- Rural Acute Care Hospital
- Cooperstown, NY
- NPI 1780600577
-
- Critical Access Hospital
- Delhi, NY
- NPI 1891728192
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1366934400000",
"number": "1003869884",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "245 LOWER MAIN ST",
"city": "ANDES",
"state": "NY",
"postal_code": "13731",
"telephone_number": "845-676-3663",
"fax_number": "845-676-3665"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "245 LOWER MAIN ST",
"city": "ANDES",
"state": "NY",
"postal_code": "13731",
"telephone_number": "845-676-3663",
"fax_number": "845-676-3665"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FIORE",
"first_name": "SUSAN",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-19",
"last_updated": "2013-04-26",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "201438",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0000201438",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Andes, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.