Individual provider Active NPI

Michael Finnegan, MD

  • Gastroenterology Physician
  • Amsterdam, NY
National Provider Identifier
1083695944
Registry record updated Oct 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
243548 Issued in NY
Practice address
425 Guy Park Ave
Suite 102
Amsterdam, NY 12010-1043
Phone
(518) 843-1240
NPI assigned
Nov 8, 2005
Last updated
Oct 24, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 038782 CT
Gastroenterology Physician 207RG0100X 243548 NY Primary

Addresses

Primary practice location

425 Guy Park Ave
Suite 102
Amsterdam, NY 12010-1043

Mailing address

380 Guy Park Ave
Attn: Christine Russo
Amsterdam, NY 12010-1055
Phone (518) 841-7430

Other identifiers 2

IdentifierTypeStateIssuer
02940605MedicaidNY
001387829MedicaidCT

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
I20080211000306 NY Practitioner - GastroenterologyPractitioner - Internal Medicine 9931193612 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ellis HospitalGroup PAC ID 5890607410, 250 clinicians
Gastrointestinal Care of Long Island PLLCGroup PAC ID 7517042211, 175 clinicians

Practice addresses (Care Compare)

1101 Nott St
Schenecctady, NY 12308-2425
Phone (518) 243-4000

1375 Washington Ave
Suite 101
Albany, NY 12206-1056
Phone (518) 533-5000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy110
Upper gastrointestinal (GI) endoscopy for acid reflux95

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
038782CTMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gastrointestinal Care of Long Island PLLC Gastroenterology CurrentSince Nov 1, 2024 Accepting new patients
Ellis Hospital CurrentSince Mar 3, 2024 Accepting new patients
St Marys Healthcare CurrentSince Jun 29, 2012 Accepting new patients
St. Mary's Healthcare CurrentSince Jun 29, 2012 Accepting new patients
St. Mary's Healthcare Past Accepting new patients
St. Mary's Healthcare Past Accepting new patients

Locations

1375 Washington Ave
#10113282
Albany, NY 12206
Phone (518) 533-1269

1375 Washington Ave
Ste 101
Albany, NY 12206
Phone (518) 438-4483

380 Guy Park Ave
Amsterdam, NY 12010
Phone (518) 841-7415

425 Guy Park Ave
Amsterdam, NY 12010
Phone (518) 842-3330

425 Guy Park Ave
Ste 102
Amsterdam, NY 12010
Phone (518) 843-1240

425 Guy Park Ave
Ste 201
Amsterdam, NY 12010
Phone (518) 842-2020

427 Guy Park Ave
Amsterdam, NY 12010
Phone (518) 442-1404

84 E State St
Gloversville, NY 12078
Phone (518) 332-4336

1785 Route 9
Ste 101
Halfmoon, NY 12065
Phone (518) 533-1269

187 Veterans Blvd
Massapequa, NY 11758
Phone (516) 795-5523

187 Veterans Blvd
#13202
Massapequa, NY 11758
Phone (516) 795-5523

1101 Nott St
Schenectady, NY 12308
Phone (518) 243-1916

2200 Burdett Ave
Troy, NY 12180
Phone (518) 272-0234

2200 Burdett Ave
Ste 201
Troy, NY 12180
Phone (518) 272-0234

Networks

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

Interoperability endpoints

  • Direct secure messaging: michael.finnegan.1@24721.direct.athenahealth.com

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.

Hospital & facility affiliations 3

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": "1131408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414108800000",
    "number": "1083695944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 GUY PARK AVE",
            "address_2": "ATTN: CHRISTINE RUSSO",
            "city": "AMSTERDAM",
            "state": "NY",
            "postal_code": "120101055",
            "telephone_number": "518-841-7430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 GUY PARK AVE",
            "address_2": "SUITE 102",
            "city": "AMSTERDAM",
            "state": "NY",
            "postal_code": "120101043",
            "telephone_number": "518-843-1240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FINNEGAN",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-08",
        "last_updated": "2014-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CT",
            "license": "038782",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "243548",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02940605",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001387829",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Amsterdam, NY

Sources for this page

Verify at the official NPI Registry.