NPIMap

Individual provider Active NPI

Jose Maria Acostamadiedo, MD

  • Hematology & Oncology Physician
  • Plattsburgh, NY
National Provider Identifier
1013910256
Registry record updated Oct 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
291399 Issued in NY
Practice address
212 Cornelia St
Plattsburgh, NY 12901-2306
Phone
(518) 562-7100
NPI assigned
May 23, 2005
Last updated
Oct 11, 2017By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 291399 NY Primary

Addresses

Primary practice location

212 Cornelia St
Plattsburgh, NY 12901-2306

Mailing address

212 Cornelia St
Plattsburgh, NY 12901-2306
Phone (518) 562-7100

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171121000654 NY Practitioner - Medical OncologyPractitioner - Hematology/Oncology 5890719371 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Medical OncologyAlso: Hematology/Oncology
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

75 Beekman St
Plattsburgh, NY 12901-1438
Phone (518) 561-2000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.88 of 100Reported as apm
Quality
71.44
Promoting interoperability
97.95
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Alice Hyde Medical Center Current Accepting new patients
Champlain Valley Physicians Hospital Medical Center Hematology & Oncology CurrentSince Oct 3, 2017 Accepting new patients
Alice Hyde Medical Center CurrentSince Jan 15, 2018 Accepting new patients
Elizabethtown Community Hospital CurrentSince Oct 1, 2023 Accepting new patients
Alice Hyde Medical Center Past Accepting new patients
Outer Banks Hematology Oncology PA Hematology & Oncology PastSince Sep 14, 2005 Accepting new patients

Locations

23 4th St
#1
Malone, NY 12953
Phone (518) 483-8962

969 State Route 11
Moira, NY 12957
Phone (518) 529-7847

212 Cornelia St
Plattsburgh, NY 12901
Phone (518) 562-7100

75 Beekman St
Plattsburgh, NY 12901
Phone (518) 562-7100

Interoperability endpoints

  • Direct secure messaging: jacostamadiedo179590@direct.uvmhealth.org

Organizations & group practices 7

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.

Hospital & facility affiliations 5

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": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507680000000",
    "number": "1013910256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 CORNELIA ST",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129012306",
            "telephone_number": "518-562-7100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 CORNELIA ST",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129012306",
            "telephone_number": "518-562-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACOSTAMADIEDO",
        "first_name": "JOSE",
        "middle_name": "MARIA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-05-23",
        "last_updated": "2017-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NY",
            "license": "291399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plattsburgh, NY

Sources for this page

Verify at the official NPI Registry.