Active NPI
Michael T James, ANP
- Adult Health Nurse Practitioner
- New Hartford, NY
National Provider Identifier
1043431281
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- F304594-1
- Practice address
- 555 French Rd
Suite 103
New Hartford, NY 13413-1044 - Phone
- (315) 735-3541
- Fax
- (315) 724-3255
- NPI assigned
- May 2, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | F304594-1 | NY | Primary |
Addresses
Primary practice location
555 French Rd
Suite 103
New Hartford, NY 13413-1044
Mailing address
555 French Rd
Suite 103
New Hartford, NY 13413-1044
Phone (315) 735-3541
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130606000060 | NY | Order and Referring Only - Nurse Practitioner | 7618115452 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F304594-1 | NY | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mohawk Valley Nephrology Associates, LLP | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba Mohawk Valley Nephrology Associates
- Nephrology Physician
- Utica, NY
- NPI 1548287329
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1043431281",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "555 FRENCH RD",
"address_2": "SUITE 103",
"city": "NEW HARTFORD",
"state": "NY",
"postal_code": "134131044",
"telephone_number": "315-735-3541",
"fax_number": "315-724-3255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "555 FRENCH RD",
"address_2": "SUITE 103",
"city": "NEW HARTFORD",
"state": "NY",
"postal_code": "134131044",
"telephone_number": "315-735-3541",
"fax_number": "315-724-3255"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAMES",
"first_name": "MICHAEL",
"middle_name": "T",
"credential": "ANP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NY",
"license": "F304594-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Hartford, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.