Individual provider Active NPI

Daniel Blachman, MD

  • Gastroenterology Physician
  • Kingston, NY
National Provider Identifier
1083931075
Registry record updated Nov 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
256784 Issued in NY
Practice address
26 Pearl St
Kingston, NY 12401-4522
Phone
(845) 331-8222
Fax
(845) 331-7818
NPI assigned
Apr 29, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Gastroenterology Physician 207RG0100X 256784 NY Primary

Addresses

Primary practice location

26 Pearl St
Kingston, NY 12401-4522

Mailing address

26 Pearl St
Kingston, NY 12401-4522
Phone (845) 331-8222

Other identifiers 1

IdentifierTypeStateIssuer
03602499MedicaidNY

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
I20130815000219 NY Practitioner - GastroenterologyPractitioner - Internal Medicine 7113169434 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hudson Valley Gastroenterology PCGroup PAC ID 6800891177, 5 clinicians
Columbia Memorial HospitalGroup PAC ID 5092709410, 171 clinicians

Practice addresses (Care Compare)

26 Pearl St
Kingston, NY 12401-4522
Phone (845) 331-8222

2827 US Route 9
Valatie, NY 12184-0785
Phone (518) 828-8051

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.92 of 100Reported as group
Quality
65.93
Improvement activities
40
Cost
78.77

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy255
Upper gastrointestinal (GI) endoscopy for acid reflux153

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
256784NYMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia Memorial Hospital CurrentSince Sep 1, 2017 Accepting new patients
Columbia Memorial Hospital CurrentSince Sep 1, 2017 Accepting new patients
Hudson Valley Gastroenterology PC Gastroenterology CurrentSince Jul 1, 2013 Accepting new patients
Columbia Memorial Hospital Past Accepting new patients

Locations

71 Prospect Ave
Ste L10
Hudson, NY 12534
Phone (518) 697-3555

71 Prospect Ave
Hudson, NY 12534
Phone (518) 262-3773

26 Pearl St
Kingston, NY 12401
Phone (845) 331-8222

2827 US Highway 9
Valatie, NY 12184
Phone (518) 828-7601

Interoperability endpoints

  • Direct secure messaging: dblachman97127@albanymed.direct-ci.com

Organizations & group practices 4

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 1

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": "1272499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1385424000000",
    "number": "1083931075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 PEARL ST",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124014522",
            "telephone_number": "845-331-8222",
            "fax_number": "845-331-7818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 PEARL ST",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124014522",
            "telephone_number": "845-331-8222",
            "fax_number": "845-331-7818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACHMAN",
        "first_name": "DANIEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-29",
        "last_updated": "2013-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "256784",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03602499",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingston, NY

Sources for this page

Verify at the official NPI Registry.