Individual provider Active NPI

Arthur Chandler III, MD

  • Family Medicine Physician
  • Kingston, NY
National Provider Identifier
1124100706
Registry record updated Apr 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
211077 Issued in NY
Practice address
211 Hurley Ave
Kingston, NY 12401-2400
Phone
(845) 339-2804
Fax
(845) 338-5982
NPI assigned
Oct 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 211077 NY
Family Medicine Physician 207Q00000X 211077 NY Primary

Addresses

Primary practice location

211 Hurley Ave
Kingston, NY 12401-2400

Mailing address

802 Columbia St
Suite 2
Hudson, NY 12534-2306
Phone (518) 751-1016

Other practice location 1

71 Prospect Ave
Hudson, NY 12534-2907
Phone (518) 828-7601

Other identifiers 1

IdentifierTypeStateIssuer
01864171MedicaidNY

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
I20050610000719 NY Practitioner - Family Practice 5698719649 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
22.35 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
74.5

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
211077NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hurley Ave Family Med PLLC Family Medicine CurrentSince Mar 1, 2021 Accepting new patients
Hurley Avenue Medicine Community Care Family Medicine CurrentSince Jul 1, 2023 Accepting new patients
Hudson Valley Hospitalists, PC Past Accepting new patients
Hurley Avenue Family Medicine Family Medicine Past Accepting new patients

Locations

146 Jefferson Hts
Catskill, NY 12414
Phone (518) 943-3415

211 Hurley Ave
Kingston, NY 12401
Phone (845) 339-2804

3190 Route 9W
Saugerties, NY 12477
Phone (845) 246-2836

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617667200000",
    "number": "1124100706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 COLUMBIA ST",
            "address_2": "SUITE 2",
            "city": "HUDSON",
            "state": "NY",
            "postal_code": "125342306",
            "telephone_number": "518-751-1016",
            "fax_number": "518-751-1020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 HURLEY AVE",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124012400",
            "telephone_number": "845-339-2804",
            "fax_number": "845-338-5982"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "71 Prospect Ave",
            "address_purpose": "LOCATION",
            "city": "Hudson",
            "state": "NY",
            "postal_code": "125342907",
            "country_code": "US",
            "telephone_number": "518-828-7601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHANDLER",
        "first_name": "ARTHUR",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-20",
        "last_updated": "2021-04-06",
        "certification_date": "2021-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "211077",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "211077",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01864171",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingston, NY

Sources for this page

Verify at the official NPI Registry.