NPIMap

Individual provider Active NPI

Ayesha Cheema, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Kingston, NY
National Provider Identifier
1083617617
Registry record updated May 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
218659 Issued in NY
Practice address
368 Broadway
Suite 402
Kingston, NY 12401-5144
Phone
(845) 334-4336
Fax
(845) 334-2746
NPI assigned
May 27, 2005
Last updated
May 14, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 218659 NY Primary

Addresses

Primary practice location

368 Broadway
Suite 402
Kingston, NY 12401-5144

Mailing address

16 West Bridge St
Saugerties, NY 12477
Phone (845) 246-3000

Other identifiers 7

IdentifierTypeStateIssuer
02254608MedicaidNY
66617OtherGHI HMO
283336OtherNYMVP
206258OtherWELLCARE
10063817OtherNYCDPHP
AC0073AN10OtherEMPIRE BLUE CROSS
460003602OtherRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050202001107 NY Practitioner - Internal MedicinePractitioner - Endocrinology 6709837123 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Endocrinology
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medical Associates of the Hudson ValleyGroup PAC ID 2860384674, 24 clinicians

Practice addresses (Care Compare)

360 Washington Ave
Kingston, NY 12401-3702
Phone (845) 338-7140

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
23.23 of 100Reported as individual
Quality
0
Promoting interoperability
0
Improvement activities
0
Cost
77.45

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
218659NYMDEndocrinology, Diabetes & Metabolism Physician
214927NYMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Associates of the Hudson Valley CurrentSince Sep 7, 2021 Accepting new patients
Eugene P Heslin MD PC CurrentSince Sep 3, 2002 Accepting new patients
Prime Care Physicians, P.L.L.C. Past Accepting new patients

Locations

360 Washington Ave
Kingston, NY 12401
Phone (845) 338-7140

16 W Bridge St
Saugerties, NY 12477
Phone (845) 246-3000

16 W Bridge St
Ste 1
Saugerties, NY 12477
Phone (845) 246-3000

Interoperability endpoints

  • Direct secure messaging: acheema@mahv.medentdirect.com

Organizations & group practices 3

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": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210723200000",
    "number": "1083617617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 WEST BRIDGE ST",
            "city": "SAUGERTIES",
            "state": "NY",
            "postal_code": "12477",
            "telephone_number": "845-246-3000",
            "fax_number": "845-246-7622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "368 BROADWAY",
            "address_2": "SUITE 402",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124015144",
            "telephone_number": "845-334-4336",
            "fax_number": "845-334-2746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEEMA",
        "first_name": "AYESHA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-27",
        "last_updated": "2008-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NY",
            "license": "218659",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02254608",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI HMO",
            "identifier": "66617",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "283336",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "206258",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDPHP",
            "identifier": "10063817",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BLUE CROSS",
            "identifier": "AC0073AN10",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "460003602",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingston, NY

Sources for this page

Verify at the official NPI Registry.