Individual provider Active NPI

Michael Weinberger, MD CM

  • Emergency Medicine Physician
  • Ellenville, NY
National Provider Identifier
1164450110
Registry record updated Aug 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
211189 Issued in NY
Practice address
50 Shoprite Blvd
Ellenville, NY 12428-5632
Phone
(607) 798-5231
NPI assigned
Jun 29, 2006
Last updated
Aug 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2007

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 211189 NY Primary
Internal Medicine Physician 207R00000X 211189 NY
Pediatrics Physician 208000000X 211189 NY

Addresses

Primary practice location

50 Shoprite Blvd
Ellenville, NY 12428-5632

Mailing address

237 Van Aernem Rd
Ballston Spa, NY 12020-3830
Phone (518) 885-0929

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, LA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040609000964 NY Practitioner - Internal MedicinePractitioner - Emergency MedicinePractitioner - Pediatric Medicine 0446233654 Reassigns benefits to 4 organizations
I20050304000060 LA Practitioner - Internal MedicinePractitioner - Pediatric Medicine 0446233654 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Concord Medical Group PLLCGroup PAC ID 0446296818, 189 clinicians
Gloversville Emergency Medicine Services PCGroup PAC ID 7517107881, 15 clinicians

Practice addresses (Care Compare)

165 Beech Springs Rd
Jonesboro, LA 71251-2013
Phone (318) 259-4435

99 E State St
Gloversville, NY 12078-1203
Phone (518) 773-5780

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.29 of 100Reported as group
Quality
76.46
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
93.4 of 100Reported as group
Quality
86.36
Promoting interoperability
99
Improvement activities
40
Cost
79.9

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. 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
211189NYMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St James Hospital CurrentSince Feb 18, 2017 Accepting new patients
Concord Medical Group PLLC Emergency Medicine CurrentSince Apr 7, 2024 Accepting new patients
Emergency Physician Services of New York, P.C. Emergency Medicine CurrentSince Jul 1, 2015 Accepting new patients
Sound Physicians Emergency Medicine of Louisiana Inc Emergency Medicine CurrentSince May 16, 2018 Accepting new patients
Chenango Memorial Hospital Inc Emergency Medicine CurrentSince Oct 21, 2016 Accepting new patients
Delaware River Medicine, PLLC Emergency Medicine Current Accepting new patients
Chenango Memorial Hospital, Inc. Emergency Medicine CurrentSince Oct 21, 2016 Accepting new patients
Gloversville Emergency Medicine Services PC Emergency Medicine CurrentSince Nov 2, 2024 Accepting new patients
Concord Medical Group of Texas PLLC Emergency Medicine CurrentSince Apr 7, 2024 Accepting new patients
Main Street Emergency Group LLC Emergency Medicine CurrentSince Sep 2, 2019 Accepting new patients
Chenango Memorial Hospital Inc Current Accepting new patients
Saratoga Emergency Physicians, PC Past Accepting new patients
Adirondack Emergency Medicine, PC Emergency Medicine Past Accepting new patients
Hospital Service District No. 2 Past Accepting new patients
R.G. Psychological Services, P.C. Past Accepting new patients
Ess Region II LLC Past Accepting new patients
Hospitalist Healthcare Services PLLC Internal Medicine Past Accepting new patients

Locations

2351 Viking Dr
Bossier City, LA 71111
Phone (318) 681-4500

600 S Pine St
Deridder, LA 70634
Phone (337) 462-7100

165 Beech Springs Rd
Jonesboro, LA 71251
Phone (318) 259-4435

524 Dr Michael Debakey Dr
Lake Charles, LA 70601
Phone (337) 430-4455

2315 E Main St
New Iberia, LA 70560
Phone (337) 364-0441

99 E State St
Gloversville, NY 12078
Phone (518) 773-5690

411 Canisteo St
Hornell, NY 14843
Phone (607) 324-8000

7309 Seneca Rd N
Ste 108
Hornell, NY 14843
Phone (607) 385-3790

7329 Seneca Rd N
North Hornell, NY 14843
Phone (607) 247-2200

179 N Broad St
Norwich, NY 13815
Phone (607) 337-4111

214 King St
Ogdensburg, NY 13669
Phone (315) 713-5660

1500 N James St
Rome, NY 13440
Phone (315) 338-7000

2209 Genesee St
Utica, NY 13501
Phone (315) 798-8100

Organizations & group practices 17

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 17

Hospital & facility affiliations 4

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": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186617600000",
    "number": "1164450110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "237 VAN AERNEM RD",
            "city": "BALLSTON SPA",
            "state": "NY",
            "postal_code": "120203830",
            "telephone_number": "518-885-0929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 SHOPRITE BLVD",
            "city": "ELLENVILLE",
            "state": "NY",
            "postal_code": "124285632",
            "telephone_number": "607-798-5231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEINBERGER",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD CM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2007-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "211189",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "211189",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "211189",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellenville, NY

Sources for this page

Verify at the official NPI Registry.