Individual provider Active NPI

Bulent Mamikoglu, M.D.

  • Otolaryngology Physician
  • Poughkeepsie, NY
National Provider Identifier
1043228349
Registry record updated Jul 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
303313 Issued in NY
Practice address
1 Webster Ave Ste 307
Poughkeepsie, NY 12601-1365
Phone
(914) 693-7636
NPI assigned
Aug 3, 2006
Last updated
Jul 3, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy Physician 207KA0200X E3010 AR
Otolaryngology Physician 207Y00000X 303313 NY Primary
Otolaryngology Physician 207Y00000X 036117864 IL
Otolaryngology Physician 207Y00000X E3010 AR

Addresses

Primary practice location

1 Webster Ave Ste 307
Poughkeepsie, NY 12601-1365

Mailing address

4495 Middle Cheshire Rd
Canandaigua, NY 14424-8327
Phone (815) 993-4266

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address bulent.mamikoglu@wmchealth.cernerdirect.com Direct
Direct Messaging Address bmamikoglu210619@direct.urmc.rochester.edu Direct
Direct Messaging Address bmamikoglu210619@direct.urmc.rochester.edu Direct

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
I20200326000188 NY Practitioner - Otolaryngology 6608866579 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

117 Marys Ave
Suite 102
Kingston, NY 12401-5849
Phone (845) 338-5555

241 N Rd
Poughkeepsie, NY 12601-1154
Phone (845) 483-5000

575 Hudson Valley Ave
New Windsor, NY 12553-4746

95 Grasslands Rd
Valhalla, NY 10595-1652
Phone (914) 493-6940

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

State licenses

LicenseStateTypeSpecialty
E3010ARMDOtolaryngology Physician
303313NYMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St James Hospital CurrentSince Mar 1, 2020 Accepting new patients
University Otolaryngology Associates Otolaryngology CurrentSince Mar 7, 2020 Accepting new patients
Westchester Medical Center Advanced Physician Services PC CurrentSince Jun 1, 2023 Accepting new patients
Westchester Medical Center Advanced Physician Services, PC CurrentSince Jun 1, 2023 Accepting new patients
Westchester Medical Center Past Accepting new patients
Randolph County Clinic Corp Otolaryngology Past Accepting new patients
Timothy C Hain, MD, PC Past Accepting new patients

Locations

19 Bradhurst Ave
Ste 3100N
Hawthorne, NY 10532
Phone (914) 231-8373

7309 Seneca Rd N
Ste 108
Hornell, NY 14843
Phone (607) 385-3790

7329 Seneca Rd N
North Hornell, NY 14843
Phone (607) 247-2200

1 Webster Ave
Ste 307
Poughkeepsie, NY 12601
Phone (845) 471-1002

19 Baker Ave
Ste 301
Poughkeepsie, NY 12601
Phone (845) 483-5951

2365 S Clinton Ave
Ste 200
Rochester, NY 14618
Phone (585) 275-0142

601 Elmwood Ave
Rochester, NY 14642
Phone (585) 275-9555

95 Grasslands Rd
Valhalla, NY 10595
Phone (914) 493-2961

191 N Main St
Wellsville, NY 14895
Phone (585) 593-1100

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: bmamikoglu210619@direct.urmc.rochester.edu
  • Direct secure messaging: bulent.mamikoglu@1382.chartlogic.direct-ci.com
  • Direct secure messaging: bulent.mamikoglu@wmchealth.cernerdirect.com
  • FHIR API: https://fhir-myrecord.cerner.com/r4/0e5efebe-b60c-458e-971a-ee39e08a2178/

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 2

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": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688342400000",
    "number": "1043228349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4495 MIDDLE CHESHIRE RD",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "144248327",
            "telephone_number": "815-993-4266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WEBSTER AVE STE 307",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126011365",
            "telephone_number": "914-693-7636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAMIKOGLU",
        "first_name": "BULENT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2023-07-03",
        "certification_date": "2023-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "AR",
            "license": "E3010",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NY",
            "license": "303313",
            "primary": true
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "IL",
            "license": "036117864",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "AR",
            "license": "E3010",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bulent.mamikoglu@wmchealth.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "wmchealth.apsent",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "ccda",
            "address_1": "1 Webster Ave Ste 307",
            "city": "Poughkeepsie",
            "state": "NY",
            "country_code": "US",
            "postal_code": "126011365",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bmamikoglu210619@direct.urmc.rochester.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "OTHER",
            "address_1": "601 Elmwood Ave",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146420001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bmamikoglu210619@direct.urmc.rochester.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "OTHER",
            "address_1": "601 Elmwood Ave",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146420001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Poughkeepsie, NY

Sources for this page

Verify at the official NPI Registry.