Organization Active NPI

Elmira Medical Urgent Care PLLC

  • Internal Medicine Physician
  • Elmira, NY
National Provider Identifier
1033352372
Registry record updated Apr 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
233697-1 Issued in NY
Legal business name
ELMIRA MEDICAL URGENT CARE PLLC
Practice address
360 W Water St
Elmira, NY 14905-2520
Phone
(607) 731-3136
NPI assigned
Apr 16, 2009
Last updated
Apr 20, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2009

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

Authorized official

Name
Akram Batniji, M.D.NPI 1588765945
Title
Sole Owner
Phone
(607) 731-3136

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X 233697-1 NY
Internal Medicine Physician 207R00000X 233697-1 NY Primary

Addresses

Primary practice location

360 W Water St
Elmira, NY 14905-2520

Mailing address

111 E 14TH St
Elmira Heights, NY 14903-1303
Phone (607) 734-9539

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090814000551 NY Part B Supplier - Clinic/Group Practice 3173677804 Receives reassigned benefits from 4 practitioners
Practice locations: Elmira, NY

National Provider Directory

National Provider Directory

Locations

360 W Water St
Elmira, NY 14905
Phone (607) 333-5676

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1239840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240185600000",
    "number": "1033352372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 E 14TH ST",
            "city": "ELMIRA HEIGHTS",
            "state": "NY",
            "postal_code": "149031303",
            "telephone_number": "607-734-9539",
            "fax_number": "607-734-6293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 W WATER ST",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149052520",
            "telephone_number": "607-731-3136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELMIRA MEDICAL URGENT CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-16",
        "last_updated": "2009-04-20",
        "status": "A",
        "authorized_official_last_name": "BATNIJI",
        "authorized_official_first_name": "AKRAM",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "607-731-3136",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "NY",
            "license": "233697-1",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "233697-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmira, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.