Active NPI
Nidal Makhoul, MD FACC FACP
- Nuclear Cardiology Physician
- Plattsburgh, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nuclear Cardiology Physician
- License
- 238355
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02041707 | Medicaid | NY |
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
- Cardiovascular Disease (Cardiology)
- Education
- Other, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
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
- The University of Vermont Health Network - Champl
- SLHS Massena, Inc
- The University of Vermont Health Network-Alice Hy
- Canton-Potsdam Hospital
- Adirondack Medical Center - Saranac Lake
Merit-based Incentive Payment System (MIPS)
- Final score
- 98.56 of 100
- Quality
- 87.76
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 98.56 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| E0021551 | NY | MD | Cardiovascular Disease Physician |
| 238355 | NY | MD | Nuclear Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alice Hyde Medical Center | Cardiovascular Disease | Current | Accepting new patients |
| Massena Hospital, Inc | Current | Accepting new patients | |
| Champlain Valley Physicians Hospital Medical Center | Current | Accepting new patients | |
| Canton-Potsdam Hospital | Current | Accepting new patients | |
| Canton-Potsdam Hospital | Current | 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
- 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.
-
- General Acute Care Hospital
- Potsdam, NY
- NPI 1568548782
-
- Internal Medicine Physician
- Plattsburgh, NY
- NPI 1124189782
-
- Critical Access Hospital
- Massena, NY
- NPI 1972604460
-
- Critical Access Hospital
- Malone, NY
- NPI 1114954682
-
- General Practice Physician
- Malone, NY
- NPI 1568735660
Cardiovascular Disease
-
- Medicare Defined Swing Bed Hospital Unit
- Potsdam, NY
- NPI 1114104445
-
- Medicare Defined Swing Bed Hospital Unit
- Massena, NY
- NPI 1619756640
-
- Skilled Nursing Facility
- Malone, NY
- NPI 1356441349
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Saranac Lake, NY
- NPI 1699709576
-
- General Acute Care Hospital
- Saranac Lake, NY
- NPI 1851601108
-
- Critical Access Hospital
- Malone, NY
- NPI 1114954682
-
- General Acute Care Hospital
- Potsdam, NY
- NPI 1568548782
-
- General Acute Care Hospital
- Plattsburgh, NY
- NPI 1033270699
-
- Critical Access Hospital
- Massena, NY
- NPI 1972604460
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2026; 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.