Active NPI
Bulent Mamikoglu, M.D.
- Otolaryngology Physician
- Poughkeepsie, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 303313
- Practice address
- 1 Webster Ave Ste 307
Poughkeepsie, NY 12601-1365 - Phone
- (914) 693-7636
- NPI assigned
- Aug 3, 2006
- Last updated
- Jul 3, 2023
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E3010 | AR | MD | Otolaryngology Physician |
| 303313 | NY | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St James Hospital | Current | Accepting new patients | |
| University Otolaryngology Associates | Otolaryngology | Current | Accepting new patients |
| Westchester Medical Center Advanced Physician Services PC | Current | Accepting new patients | |
| Westchester Medical Center Advanced Physician Services, PC | Current | 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
- bmamikoglu210619@direct.urmc.rochester.edu
- bulent.mamikoglu@1382.chartlogic.direct-ci.com
- bulent.mamikoglu@wmchealth.cernerdirect.com
- 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.
-
- Surgery Physician
- Valhalla, NY
- NPI 1912131392
-
- Rural Acute Care Hospital
- Hornell, NY
- NPI 1013985399
-
- Otolaryngology Physician
- Rochester, NY
- NPI 1679518088
-
- Anesthesiology Physician
- Valhalla, NY
- NPI 1740687458
-
- General Acute Care Hospital
- Valhalla, NY
- NPI 1023286184
-
dba Pocahontas Healthcare Specialists
- Diagnostic Radiology Physician
- Pocahontas, AR
- NPI 1366480907
Otolaryngology
-
dba Chicago Dizziness and Hearing
- Otology & Neurotology Physician
- Chicago, IL
- NPI 1992905426
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Kingston, NY
- NPI 1932182599
-
dba Westchester Medical Center
- General Acute Care Hospital
- Valhalla, NY
- NPI 1932280666
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2023; 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.