Individual provider Active NPI

Terence Duran Schumpert, MD

  • Diagnostic Radiology Physician
  • Massena, NY
National Provider Identifier
1043279730
Registry record updated Apr 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
220205-1 Issued in NY
Practice address
1 Hospital Dr
Massena Memorial Hospital
Massena, NY 13662-1056
Phone
(315) 265-4924
Fax
(315) 268-1723
NPI assigned
Mar 21, 2006
Last updated
Apr 10, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 220205-1 NY Primary

Addresses

Primary practice location

1 Hospital Dr
Massena Memorial Hospital
Massena, NY 13662-1056

Mailing address

42 Market St
PO Box 698
Potsdam, NY 13676-1747
Phone (315) 126-5492

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, ME2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040719001262 NY Practitioner - Diagnostic Radiology 3072592310 Reassigns benefits to 3 organizations
I20090430000461 ME Practitioner - Diagnostic Radiology 3072592310 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Texas Southwestern Medical School at Dallas, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Lawrence Radiology Assoc PCGroup PAC ID 2264421122, 25 clinicians
Maritime Radiology Associates PCGroup PAC ID 2961566989, 8 clinicians
Olean Radiology, PCGroup PAC ID 9133118862, 16 clinicians

Practice addresses (Care Compare)

110 Crystal Run Rd
Middletown, NY 10941-4040
Phone (845) 673-6446

194 E Main St
Fort Kent, ME 04743-1428
Phone (207) 834-3155

50 Leroy St
Potsdam, NY 13676-1786
Phone (315) 265-3300

529 Central Ave
Dunkirk, NY 14048-2514
Phone (716) 366-1111

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
220205-1NYMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Lawrence Radiology Assoc PC Diagnostic Radiology CurrentSince Jul 16, 2001 Accepting new patients
Olean Radiology, PC Diagnostic Radiology CurrentSince Aug 20, 2002 Accepting new patients
Maritime Radiology Associates PC Diagnostic Radiology CurrentSince Mar 26, 2009 Accepting new patients
Imaging Subspecialist of New York Past Accepting new patients
University Radiology at Buffalo, Inc. Diagnostic Radiology Past Accepting new patients

Locations

50 Union St
Ellsworth, ME 04605
Phone (207) 664-5304

194 E Main St
Fort Kent, ME 04743
Phone (207) 834-3101

8395 Oswego Rd
Baldwinsville, NY 13027
Phone (315) 450-4898

3045 John Trush Jr Blvd
Cazenovia, NY 13035
Phone (315) 824-7040

140 W Main St
Cuba, NY 14727
Phone (585) 968-2000

77 W Barney St
Gouverneur, NY 13642
Phone (315) 287-1000

160 Broad St
Hamilton, NY 13346
Phone (315) 824-7040

4 Johnson Rd
Latham, NY 12110
Phone (518) 220-2080

1 Hospital Dr
Massena, NY 13662
Phone (315) 764-1711

110 Crystal Run Rd
Middletown, NY 10941
Phone (845) 673-6446

4693 Commercial Dr
New Hartford, NY 13413
Phone (315) 507-5114

515 Main St
Olean, NY 14760
Phone (716) 373-2600

535 Main St
Olean, NY 14760
Phone (716) 372-0141

321 Genesee St
Oneida, NY 13421
Phone (315) 361-2020

50 Leroy St
Potsdam, NY 13676
Phone (315) 261-6034

17 Lansing St
Sennett, NY 13021
Phone (315) 255-7011

1014 Oswegatchie Trail Rd
Star Lake, NY 13690
Phone (315) 848-3351

1116 Arsenal St
Ste 504
Watertown, NY 13601
Phone (315) 782-2669

Organizations & group practices 6

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 6

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": "1142899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491782400000",
    "number": "1043279730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 MARKET ST",
            "address_2": "PO BOX 698",
            "city": "POTSDAM",
            "state": "NY",
            "postal_code": "136761747",
            "telephone_number": "315-126-5492",
            "fax_number": "315-268-1723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HOSPITAL DR",
            "address_2": "MASSENA MEMORIAL HOSPITAL",
            "city": "MASSENA",
            "state": "NY",
            "postal_code": "136621056",
            "telephone_number": "315-265-4924",
            "fax_number": "315-268-1723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHUMPERT",
        "first_name": "TERENCE",
        "middle_name": "DURAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-21",
        "last_updated": "2017-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "220205-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Massena, NY

Sources for this page

Verify at the official NPI Registry.