Champlain Valley Physicians Hospital Medical Center

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CENTER

Practice address

75 Beekman St
Plattsburgh, NY 12901-1438

Phone

(518) 561-2000

Fax

(518) 314-3981

NPI assigned

Dec 13, 2006

Last updated

Feb 17, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Michelle Lebeau

Title

President

Phone

(518) 562-7055

Specialties & licenses 13

Addresses

Other identifiers 1

Other names 1

• CVPH Other name

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NY, FL, CT, VT, NH, CO6 enrollments

Enrollment records 6

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Champlain Valley Physicians Hospital Medical Center

  • General Acute Care Hospital
  • Plattsburgh, NY
  • NPI 1033270699

  2769396878

  Same PAC ID
• Champlain Valley Physicians Hospital Medical Center

  dba CVPH Outpatient Pharmacy

  • Community/Retail Pharmacy
  • Plattsburgh, NY
  • NPI 1124481700

  2769396878

  Same PAC ID
• Champlain Valley Physicians Hospital Medical Center

  • Skilled Nursing Facility
  • Plattsburgh, NY
  • NPI 1215098876

  2769396878

  Same PAC ID
• Champlain Valley Physicians Hospital Medical Center

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Plattsburgh, NY
  • NPI 1487785382

  2769396878

  Same PAC ID

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Champlain Valley Physicians Hospital Medical Center

  • General Acute Care Hospital
  • Plattsburgh, NY
  • NPI 1033270699

  O20031121000623

  Same enrollment
• Champlain Valley Physicians Hospital Medical Center

  • Skilled Nursing Facility
  • Plattsburgh, NY
  • NPI 1215098876

  O20031121000623

  Same enrollment

Locations

Practitioners 764

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jose Maria Acostamadiedo, MD

  • Hematology & Oncology Physician
  • Plattsburgh, NY
  • NPI 1013910256
  Medicare reassignment Care Compare group NPD
• Fatin Adams

  • Gastroenterology Physician
  • Plattsburgh, NY
  • NPI 1679440374
  Medicare reassignment Care Compare group NPD
• Aref Agheli, MD

  • Hematology & Oncology Physician
  • Oneida, NY
  • NPI 1710204573
  Medicare reassignment Care Compare group NPD
• Wajih Aksamawati Dit Arja, M.D

  • Pulmonary Disease Physician
  • Plattsburgh, NY
  • NPI 1962718551

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Jerry Albujar, D.P.M

  • Podiatrist
  • Plattsburgh, NY
  • NPI 1255863981
  Medicare reassignment Care Compare group NPD
• Vlada Alexeeva, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Uniondale, NY
  • NPI 1952617995
  Medicare reassignment Care Compare group NPD
• Anel Alexis

  • Emergency Medicine Physician
  • Brooklyn, NY
  • NPI 1720475924
  Medicare reassignment Care Compare group NPD
• Alveena Altaf, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Plattsburgh, NY
  • NPI 1528610656
  Medicare reassignment Care Compare group NPD
• Adam Andrews

  • Certified Registered Nurse Anesthetist
  • Plattsburgh, NY
  • NPI 1871194886
  Medicare reassignment Care Compare group NPD
• Sergio Apuzzo, MD, PHD

  • Diagnostic Radiology Physician
  • Plattsburgh, NY
  • NPI 1992261887
  Medicare reassignment Care Compare group NPD
• Tracy Ann Arguelles, ANP

  • Adult Health Nurse Practitioner
  • Plattsburgh, NY
  • NPI 1508336868
  Medicare reassignment Care Compare group NPD
• Emily Allison Ashline

  • Family Nurse Practitioner
  • Plattsburgh, NY
  • NPI 1124857743
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708128000000",
    "number": "1124189782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2868",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129010259",
            "telephone_number": "518-561-2000",
            "fax_number": "518-561-0881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 BEEKMAN ST",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129011438",
            "telephone_number": "518-561-2000",
            "fax_number": "518-314-3981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2024-02-17",
        "certification_date": "2024-02-17",
        "status": "A",
        "authorized_official_last_name": "LEBEAU",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "518-562-7055",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02205434",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.cioxhealth.com:8291/Gateway/DocumentSubmission/1_1/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "esmd.cioxhealth.com and OID is '2.16.840.1.113883.3.6635.1.1'",
            "affiliationName": "Ciox Health",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "924 North Point Parkway",
            "city": "Alphretta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "30005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "CVPH",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "CVPH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Champlain Valley Medical Anesthesia Services, PC
• Champlain Valley Open MRI LLC
• Champlain Valley Pathology, PLLC
• Champlain Valley Physicians Hospital Medical Center
• Champlain Valley Physicians Hospital Medical Center (Champlain Valley Physicians Medical Center Pharmacy)
• Champlain Valley Physicians Hospital Medical Center (CVPH Outpatient Pharmacy)
• Champlain Valley Physicians Hospital Medical Center
• Champlain Valley Physicians Hospital Medical Center
• Champlain Valley Psychiatric Associates
• Champlain Valley Vascular Surgery (Theodore S Pabst III)

• Internal Medicine Physician in Plattsburgh, NY
• Providers in Plattsburgh, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.