Catherine Dailey Agricola, M.D.
Individual provider Active NPI Internal Medicine Physician · Kingston, NY
NPI 1083970149 · NPPES record last updated May 28, 2025
Key facts
- NPI
- 1083970149
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 276829 (NY)
- Practice address
- 2821 Route 209
Kingston, NY 12401-7661 - Phone
- (845) 510-1870
- Fax
- (845) 510-1872
- NPI assigned
- Apr 3, 2012
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
- Opted out of Medicare
- Yes, effective Jun 29, 2020 through Jun 29, 2028
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Interoperability endpoints
- cagricola@hiemail.healtheconnections.org
- catherine.agricola@23906665431044.direct.elationemr.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 276829 | NY | |
| General Practice Physician | 208D00000X | 276829 | NY | |
| Internal Medicine Physician | 207R00000X | 276829 | NY | Yes |
Addresses
Primary practice location
2821 Route 209
Kingston, NY 12401-7661
Mailing address
2821 Route 209
Kingston, NY 12401-7661
Phone (845) 510-1870
Other practice location 1
334 Plaza Rd
Kingston, NY 12401
Phone (845) 338-0180
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04485723 | Medicaid | NY |
Other names
- Catherine Molina Dailey
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Catherine.Agricola@23906665431044.direct.elationemr.com | Direct |
Other providers in Kingston, NY
- Howard S. Adler
- Elizabeth Adolfie
- Advanced Dermatology, PLLC
- Marjorie Affel
- Amy W Agnew
- Jose Antonio Aguero X
- Jonathan Michael Ahmadjian
- Albany Medical College
- Albany Medical College
- Katie Lynn Albin
All providers in Kingston, NY · Internal Medicine Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 28, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.