Individual provider Active NPI

Nidal Makhoul, MD FACC FACP

  • Nuclear Cardiology Physician
  • Plattsburgh, NY
National Provider Identifier
1063409282
Registry record updated Apr 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nuclear Cardiology PhysicianTaxonomy code 207UN0901X
License
238355 Issued in NY
Practice address
52 Tom Miller Road
Plattsburgh, NY 12901-1252
Phone
(518) 563-2404
Fax
(518) 563-4033
NPI assigned
Oct 3, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Cardiology Physician 207UN0901X 238355 NY Primary
Cardiovascular Disease Physician 207RC0000X E0021551 NY

Addresses

Primary practice location

52 Tom Miller Road
Plattsburgh, NY 12901-1252

Mailing address

52 Tom Miller Road
Plattsburgh, NY 12901-1252
Phone (518) 563-2404

Other practice location 1

133 Park St
Malone, NY 12953-1244
Phone (518) 483-3000

Other practice location 2

75 Beekman St
Plattsburgh, NY 12901-1427
Phone (518) 561-2000

Other identifiers 1

IdentifierTypeStateIssuer
02041707MedicaidNY

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
I20070129000214 NY Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 4284548819 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Massena Hospital IncGroup PAC ID 1456781491, 45 clinicians
Canton-Potsdam HospitalGroup PAC ID 6204827280, 243 clinicians

Practice addresses (Care Compare)

1 Hospital Dr
FL 3
Massena, NY 13662-1056
Phone (315) 842-3099

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

75 Beekman St
Plattsburgh, NY 12901-1438
Phone (518) 562-7100

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.56 of 100Reported as apm
Quality
87.76
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
98.56 of 100Reported as apm
Quality
87.76
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E0021551NYMDCardiovascular Disease Physician
238355NYMDNuclear Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alice Hyde Medical Center Cardiovascular Disease CurrentSince Mar 12, 2018 Accepting new patients
Massena Hospital, Inc CurrentSince Apr 1, 2020 Accepting new patients
Champlain Valley Physicians Hospital Medical Center CurrentSince Jan 1, 2011 Accepting new patients
Canton-Potsdam Hospital CurrentSince May 9, 2022 Accepting new patients
Canton-Potsdam Hospital CurrentSince May 9, 2022 Accepting new patients
Alice Hyde Medical Center Current Accepting new patients
Alice Hyde Medical Center Past Accepting new patients

Locations

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

1 Hospital Dr
Fl 3
Massena, NY 13662
Phone (315) 769-1111

242 N Main St
Massena, NY 13662
Phone (315) 261-6034

969 State Route 11
Moira, NY 12957
Phone (518) 529-7847

52 Tom Miller Rd
Plattsburgh, NY 12901
Phone (518) 324-4000

75 Beekman St
Plattsburgh, NY 12901
Phone (518) 562-7100

214 Cornelia St
Ste 203
Plattsburgh, NY 12901
Phone (518) 314-3242

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

201 Market St
Ste E
Potsdam, NY 13676
Phone (315) 274-9102

Interoperability endpoints

  • Direct secure messaging: nmakhoul107048@direct.uvmhealth.org

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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": "1128297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776902400000",
    "number": "1063409282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 TOM MILLER ROAD",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129011252",
            "telephone_number": "518-563-2404",
            "fax_number": "518-563-4033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "52 TOM MILLER ROAD",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129011252",
            "telephone_number": "518-563-2404",
            "fax_number": "518-563-4033"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "133 Park St",
            "address_purpose": "LOCATION",
            "city": "Malone",
            "state": "NY",
            "postal_code": "129531244",
            "country_code": "US",
            "telephone_number": "518-483-3000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "75 Beekman St",
            "address_purpose": "LOCATION",
            "city": "Plattsburgh",
            "state": "NY",
            "postal_code": "129011427",
            "country_code": "US",
            "telephone_number": "518-561-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAKHOUL",
        "first_name": "NIDAL",
        "credential": "MD FACC FACP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-03",
        "last_updated": "2026-04-23",
        "certification_date": "2026-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "NY",
            "license": "238355",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "E0021551",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02041707",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plattsburgh, NY

Sources for this page

Verify at the official NPI Registry.