Active NPI
Joel Panthappattu, M.D.
- Family Medicine Physician
- New Paltz, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 296056
- Practice address
- 279 Main St Ste 102
New Paltz, NY 12561-1624 - Phone
- (845) 255-2930
- Fax
- (845) 255-3089
- NPI assigned
- Jun 2, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Medicine Physician | 207Q00000X | 296056 | NY | Primary |
Addresses
Primary practice location
279 Main St Ste 102
New Paltz, NY 12561-1624
Mailing address
396 Broadway
Kingston, NY 12401-4626
Phone (845) 802-7600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 296056 | Other | NY | NYS MEDICAL LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://www.institute.org/ | Health Information Exchange (HIE) |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Family Practice Dr
Kingston, NY 12401-6449
Phone (845) 338-6400
105 Marys Ave
Kingston, NY 12401-5829
Phone (845) 338-2500
1824 Madison Ave
New York, NY 10035-3832
Phone (212) 423-4500
6511 Spring Brook Ave
Rhinebeck, NY 12572-3709
Phone (845) 876-3001
Hospital & facility affiliations
- Healthalliance Hospital Marys Avenue Campus
- Northern Dutchess Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 296056 | NY | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Institute for Family Health | Family Medicine | Current | Accepting new patients |
| The Institute for Family Health | Family Medicine | Current | Accepting new patients |
| The Institute for Family Health | Family Medicine | Current | Accepting new patients |
| New York Medical Physician Associates PC | Current | Accepting new patients | |
| Nuvance Health Medical Practice PC | Current | Accepting new patients | |
| New York Medical Physician Associates PC | Current | Accepting new patients | |
| Health Quest Medical Practice, PC | Current | Accepting new patients | |
| Healthalliance Hospital Marys Avenue Campus | Past | Accepting new patients |
Locations
105 Marys Ave
Kingston, NY 12401
Phone (845) 334-3080
396 Broadway
Kingston, NY 12401
Phone (845) 331-3131
279 Main St
Ste 102
New Paltz, NY 12561
Phone (845) 255-2930
279 Main St
Ste 101
New Paltz, NY 12561
Phone (845) 255-2930
279 Main St
New Paltz, NY 12561
Phone (845) 255-2930
279 Main St
Ste 204
New Paltz, NY 12561
Phone (845) 255-3046
16 E 16th St
New York, NY 10003
Phone (212) 633-0800
1824 Madison Ave
New York, NY 10035
Phone (212) 423-4200
45 Reade Pl
Fl 2
Poughkeepsie, NY 12601
Phone (845) 483-6001
6511 Spring Brook Ave
Rhinebeck, NY 12572
Phone (845) 871-3368
Organizations & group practices 8
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.
-
- Hospitalist Physician
- Poughkeepsie, NY
- NPI 1578316501
-
- Internal Medicine Physician
- Poughkeepsie, NY
- NPI 1437358033
-
- Family Medicine Physician
- New York, NY
- NPI 1295729408
-
- Diagnostic Radiology Physician
- Kingston, NY
- NPI 1558906610
-
- Hospitalist Physician
- Margaretville, NY
- NPI 1528869203
-
- Family Medicine Physician
- Brooklyn, NY
- NPI 1295262921
-
- Family Medicine Physician
- New York, NY
- NPI 1972877017
-
- General Acute Care Hospital
- Kingston, NY
- NPI 1932182599
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Kingston, NY
- NPI 1932182599
-
- General Acute Care Hospital
- Rhinebeck, NY
- NPI 1124072715
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1433203200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1561420800000",
"number": "1124408489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "396 BROADWAY",
"city": "KINGSTON",
"state": "NY",
"postal_code": "124014626",
"telephone_number": "845-802-7600",
"fax_number": "845-338-0307"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "279 MAIN ST STE 102",
"city": "NEW PALTZ",
"state": "NY",
"postal_code": "125611624",
"telephone_number": "845-255-2930",
"fax_number": "845-255-3089"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PANTHAPPATTU",
"first_name": "JOEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-06-02",
"last_updated": "2019-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "296056",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NYS MEDICAL LICENSE",
"identifier": "296056",
"state": "NY"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://www.institute.org/",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "213 Broadway",
"city": "Port Ewen",
"state": "NY",
"country_code": "US",
"postal_code": "124667769",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in New Paltz, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.