Individual provider Active NPI

Michael Ignat, D.O.

  • Pediatrics Physician
  • Kingston, NY
National Provider Identifier
1083057269
Registry record updated Aug 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
283603 Issued in NY
Practice address
1 Family Practice Dr
Kingston, NY 12401
Phone
(845) 339-9055
NPI assigned
Apr 8, 2013
Last updated
Aug 10, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 283603 NY Primary

Addresses

Primary practice location

1 Family Practice Dr
Kingston, NY 12401

Mailing address

1 Family Practice Dr
Kingston, NY 12401-6449
Phone (845) 339-9055

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
I20161101001093 NY Practitioner - Pediatric Medicine 1153609854 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Institute for Family Health Current Accepting new patients
Boston Children's Health Physicians, LLP Pediatrics CurrentSince Aug 21, 2016 Accepting new patients
The Institute for Family Health CurrentSince Mar 1, 2018 Accepting new patients
Boston Childrens Health Physicians LLP CurrentSince Aug 21, 2016 Accepting new patients
The Institute for Family Health CurrentSince Mar 1, 2018 Accepting new patients
Healthalliance Hospital Marys Avenue Campus Past Accepting new patients

Locations

6 Healthy Way
Ellenville, NY 12428
Phone (845) 647-4500

19 Bradhurst Ave
Hawthorne, NY 10532
Phone (914) 493-7235

1 Family Practice Dr
Kingston, NY 12401
Phone (845) 338-2562

279 Main St
Ste 101
New Paltz, NY 12561
Phone (845) 255-2930

1824 Madison Ave
New York, NY 10035
Phone (212) 423-4200

266 North St
Ste A
Newburgh, NY 12550
Phone (845) 565-5437

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1365379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533859200000",
    "number": "1083057269",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FAMILY PRACTICE DR",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124016449",
            "telephone_number": "845-339-9055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 FAMILY PRACTICE DR",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "12401",
            "telephone_number": "845-339-9055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IGNAT",
        "first_name": "MICHAEL",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-08",
        "last_updated": "2018-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "283603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingston, NY

Sources for this page

Verify at the official NPI Registry.