Active NPI
Robert George Ungeheuer, PA-C
- Physician Assistant
- Albany, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 001673-1
- Practice address
- 1971 Western Ave
Albany, NY 12203-5066 - Phone
- (518) 452-2597
- NPI assigned
- Jun 6, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA3529 | FL | |
| Physician Assistant | 363A00000X | 001673-1 | NY | Primary |
Addresses
Primary practice location
1971 Western Ave
Albany, NY 12203-5066
Mailing address
1160 Chili Ave
Suite 200
Rochester, NY 14624-3035
Phone (585) 426-4990
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
191 N Main St
Wellsville, NY 14895-1150
Phone (585) 593-1100
Hospital & facility affiliations
- Carthage Area Hospital, Inc
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Bachelor of Science, Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001673 | NY | MD | Internal Medicine Physician |
| 001673-1 | NY | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carthage Area Hospital Inc | Current | Accepting new patients | |
| The Memorial Hospital of William F. and Gertrude F. Jones, Inc. | Current | Accepting new patients | |
| Carthage Area Hospital Inc | Current | Accepting new patients | |
| The Memorial Hospital of William F. and Gertrude F. Jones, Inc. | Current | Accepting new patients | |
| Emergency Medicine of Florida, Inc. | Past | Accepting new patients |
Locations
73 Buffalo St
Ste 100
Canandaigua, NY 14424
1001 West St
Carthage, NY 13619
Phone (315) 493-1000
191 N Main St
Wellsville, NY 14895
Phone (585) 593-1100
Organizations & group practices 8
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.
-
- Hospitalist Physician
- Rochester, NY
- NPI 1922270420
-
- General Acute Care Hospital
- Wellsville, NY
- NPI 1720030703
-
- Critical Access Hospital
- Carthage, NY
- NPI 1053497388
-
- Emergency Medicine Physician
- Wellsville, NY
- NPI 1003075029
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Ogdensburg, NY
- NPI 1013759166
-
- Physical Therapy Clinic/Center
- Carthage, NY
- NPI 1366653826
-
- Rural Health Clinic/Center
- Hornell, NY
- NPI 1457974644
-
- Occupational Medicine Clinic/Center
- Tampa, FL
- NPI 1134235872
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Carthage, NY
- NPI 1053497388
-
- Critical Access Hospital
- Carthage, NY
- NPI 1104234376
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1379289600000",
"number": "1023057692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1160 CHILI AVE",
"address_2": "SUITE 200",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146243035",
"telephone_number": "585-426-4990",
"fax_number": "585-426-4997"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1971 WESTERN AVE",
"city": "ALBANY",
"state": "NY",
"postal_code": "122035066",
"telephone_number": "518-452-2597"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UNGEHEUER",
"first_name": "ROBERT",
"middle_name": "GEORGE",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-06",
"last_updated": "2013-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA3529",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "001673-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Albany, NY
- William Davenport Ulmer, M.D.
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- Leah Umfrey, MD
- Unalome Holistic Arts & Massage
- Erica Susan Underwood, MS, RD, CLC, CDN
- Christopher Unger, DMD
- United Choice Enterprise LLC
- United States Department of Veterans Affairs
- United States Department of Veterans Affairs
- University Ear Nose and Throat of Northeastern New York LLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.