Individual provider Active NPI

Emile Wassel, MD

  • Nephrology Physician
  • Utica, NY
National Provider Identifier
1023047552
Registry record updated Oct 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
207857 Issued in NY
Practice address
1450 Champlin Ave Ste 1
Utica, NY 13502
Phone
(315) 624-9004
Fax
(315) 624-9003
NPI assigned
Jun 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 207857 NY Primary

Addresses

Primary practice location

1450 Champlin Ave Ste 1
Utica, NY 13502

Mailing address

PO Box 602
New Hartford, NY 13413-0602
Phone (315) 624-8100

Other identifiers 1

IdentifierTypeStateIssuer
01786841MedicaidNY

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
I20040414000025 NY Practitioner - NephrologyPractitioner - Internal Medicine 7810981859 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kidney and Hypertension Consultant, PLLCGroup PAC ID 7911991955, 5 clinicians

Practice addresses (Care Compare)

1450 Champlin Ave
Utica, NY 13502-3662
Phone (315) 624-9000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kidney and Hypertension Consultant, PLLC Nephrology CurrentSince Dec 1, 2003 Accepting new patients
Sleep Disorders Lab of Central New York, LLC PastSince Mar 1, 2014 Accepting new patients
Mohawk Valley Nephrology Associates, LLP Nephrology PastSince Jul 20, 2004 Accepting new patients
Ny Acute Care Specialists PC Past Accepting new patients

Locations

10 Eaton St
Hamilton, NY 13346
Phone (315) 750-9693

104 N Washington St
Herkimer, NY 13350
Phone (315) 866-6964

201 E State St
Herkimer, NY 13350
Phone (315) 574-0026

7785 N State St
Lowville, NY 13367
Phone (315) 376-5102

1656 Champlin Ave
New Hartford, NY 13413
Phone (315) 624-6222

179 N Broad St
Norwich, NY 13815
Phone (607) 337-4111

54 E Main St
Ste 6A
Norwich, NY 13815
Phone (607) 334-6861

131 Main St
Oneida, NY 13421
Phone (315) 366-0360

2142 Glenwood Shopping Plz
Oneida, NY 13421
Phone (315) 363-1393

240 Broad St
Oneida, NY 13421
Phone (315) 363-9214

91 Perimeter Rd
Rome, NY 13441
Phone (315) 334-4786

7845 Rome Westernville Rd
Rome, NY 13440
Phone (315) 337-2500

117 Erie Blvd W
Rome, NY 13440
Phone (315) 306-3337

111 E Chestnut St
Rome, NY 13440
Phone (315) 337-8584

1500 N James St
Rome, NY 13440
Phone (315) 338-7000

1450 Champlin Ave
Utica, NY 13502
Phone (315) 624-8100

1676 Sunset Ave
Utica, NY 13502
Phone (315) 624-5567

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

1450 Champlin Ave
Ste 1
Utica, NY 13502
Phone (315) 624-2900

2209 Genesee St
Utica, NY 13501
Phone (315) 798-8100

Interoperability endpoints

  • Direct secure messaging: emilewasselmd@mvmp.medentdirect.com

Organizations & group practices 5

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 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698710400000",
    "number": "1023047552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 602",
            "city": "NEW HARTFORD",
            "state": "NY",
            "postal_code": "134130602",
            "telephone_number": "315-624-8100",
            "fax_number": "315-624-8105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1450 CHAMPLIN AVE STE 1",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "13502",
            "telephone_number": "315-624-9004",
            "fax_number": "315-624-9003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASSEL",
        "first_name": "EMILE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "207857",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01786841",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Utica, NY

Sources for this page

Verify at the official NPI Registry.