Individual provider Active NPI

Henry M Klotz, MD

  • Gastroenterology Physician
  • Auburn, NY
National Provider Identifier
1134283104
Registry record updated Dec 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
154153 Issued in NY
Practice address
77 Nelson St
Suite #220
Auburn, NY 13021-1944
Phone
(315) 253-5151
Fax
(315) 253-0841
NPI assigned
Dec 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 154153 NY Primary

Addresses

Primary practice location

77 Nelson St
Suite #220
Auburn, NY 13021-1944

Mailing address

17 Lansing St
Auburn Memorial Medical Services, PC
Auburn, NY 13021-1983
Phone (315) 255-7438

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
I20050207000083 NY Practitioner - GastroenterologyPractitioner - Internal Medicine 2466403530 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Icahn School of Medicine at Mount Sinai, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Oneida Medical Practice PCGroup PAC ID 9830272350, 51 clinicians

Practice addresses (Care Compare)

125 Fields Dr
Oneida, NY 13421-2642
Phone (315) 361-2205

139 Fields Dr
Oneida, NY 13421-2642
Phone (315) 361-2385

301 Genesee St
Oneida, NY 13421-2644

301 Genesee St-Attn Neurology
Suite C
Oneida, NY 13421-2644
Phone (315) 361-2377

321 Genesee St
FL 3
Oneida, NY 13421-2611
Phone (315) 606-2705

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75.68 of 100Reported as group
Quality
48.88
Promoting interoperability
91
Improvement activities
40
Cost
71.94

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy172
Upper gastrointestinal (GI) endoscopy for acid reflux100

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
154153NYMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oneida Health Systems, Inc CurrentSince Jan 1, 2025 Accepting new patients
Oneida Medical Practice, PC CurrentSince Jan 1, 2025 Accepting new patients
Auburn Memorial Medical Services, PC CurrentSince Jan 14, 2013 Accepting new patients
Oneida Health Systems, Inc. CurrentSince Jan 1, 2025 Accepting new patients
Auburn Community Hospital CurrentSince Jan 6, 2022 Accepting new patients
Auburn Community Hospital CurrentSince Jan 6, 2022 Accepting new patients
Oneida Medical Practice, PC CurrentSince Jan 1, 2025 Accepting new patients
Auburn Memorial Medical Services, PC Gastroenterology CurrentSince Jan 14, 2013 Accepting new patients
Am Nephrology Care PC Past Accepting new patients

Locations

77 Nelson St
Ste 120
Auburn, NY 13021
Phone (315) 252-7550

77 Nelson St
Ste 220
Auburn, NY 13021
Phone (315) 252-8838

139 Fields Dr
Oneida, NY 13421
Phone (315) 361-2345

301 Genesee St
Ste C
Oneida, NY 13421
Phone (315) 361-2377

321 Genesee St
Oneida, NY 13421
Phone (315) 361-2020

17 Lansing St
Sennett, NY 13021
Phone (315) 255-7011

Interoperability endpoints

  • Direct secure messaging: hklotz@ompohc.medentdirect.com

Organizations & group practices 9

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.

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": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355875200000",
    "number": "1134283104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 LANSING ST",
            "address_2": "AUBURN MEMORIAL MEDICAL SERVICES, PC",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130211983",
            "telephone_number": "315-255-7438",
            "fax_number": "315-255-7099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 NELSON ST",
            "address_2": "SUITE #220",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130211944",
            "telephone_number": "315-253-5151",
            "fax_number": "315-253-0841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLOTZ",
        "first_name": "HENRY",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-21",
        "last_updated": "2012-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "154153",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, NY

Sources for this page

Verify at the official NPI Registry.