Individual provider Active NPI

Dorothy Elizabeth

  • Physician Assistant
  • Dundee, NY
National Provider Identifier
1174073662
Registry record updated Oct 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
020215 Issued in NY
Practice address
30 Millard St
Dundee, NY 14837-1024
Phone
(607) 243-8311
NPI assigned
Oct 7, 2016
Last updated
Oct 7, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 020215 NY Primary

Addresses

Primary practice location

30 Millard St
Dundee, NY 14837-1024

Mailing address

30 Millard St
Dundee, NY 14837-1024
Phone (607) 243-8311

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161130001195 NY Practitioner - Physician Assistant 9931489317 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Schuyler Hospital IncGroup PAC ID 3577548262, shared by 6 NPIs, 41 clinicians

Practice addresses (Care Compare)

220 Steuben St
Montour Falls, NY 14865-9740
Phone 607535863952353

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.27 of 100Reported as apm
Quality
82.87
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
020215NYMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Schuyler Hospital Inc CurrentSince Jan 6, 2026 Accepting new patients
Schuyler Hospital Inc CurrentSince Oct 8, 2016 Accepting new patients
Schuyler Hospital Inc CurrentSince Oct 8, 2016 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

220 Steuben St
Montour Falls, NY 14865
Phone (607) 535-7121

230 Steuben St
Montour Falls, NY 14865
Phone (607) 535-7154

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1475798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475798400000",
    "number": "1174073662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 MILLARD ST",
            "city": "DUNDEE",
            "state": "NY",
            "postal_code": "148371024",
            "telephone_number": "607-243-8311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 MILLARD ST",
            "city": "DUNDEE",
            "state": "NY",
            "postal_code": "148371024",
            "telephone_number": "607-243-8311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELIZABETH",
        "first_name": "DOROTHY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-07",
        "last_updated": "2016-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "020215",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dundee, NY

Sources for this page

Verify at the official NPI Registry.