Active NPI
Rachel Colvin, DO
- Nephrology Physician
- Goshen, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 209161
- Practice address
- 30 Hatfield LN
Suite 208
Goshen, NY 10924-6766 - Phone
- (845) 294-0994
- Fax
- (845) 615-1376
- NPI assigned
- Oct 6, 2005
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 209161 | NY | |
| Nephrology Physician | 207RN0300X | 209161 | NY | Primary |
Addresses
Primary practice location
30 Hatfield LN
Suite 208
Goshen, NY 10924-6766
Mailing address
2 Coates Dr
Goshen, NY 10924-6758
Phone (845) 651-1400
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 48101 | Medicaid | NJ | |
| 02154387 | Medicaid | NY | |
| A400001726 | Other | MEDICARE |
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
- Nephrology
- Education
- New York College of Osteo Medicine of New York Institute of Technology, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1460 State Route 17M
Chester, NY 10918-1054
Phone (845) 651-1400
21 Edward J Lempka Dr
Family Practice
Florida, NY 10921-0001
Phone (845) 651-1777
277 Quassaick Ave
New Windsor, NY 12553-7632
Phone (845) 565-5630
30 Hatfield LN
Goshen, NY 10924-6768
Hospital & facility affiliations
- Premier Dialysis Center
- Garnet Health Medical Center
- St Anthony Community Hospital
- Montefiore St Luke'S Cornwall
- Bon Secours Community Hospital
- Garnet Health Medical Center Catskills
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 209161 | NY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Horizon Medical Group, P.C. | Internal Medicine | Current | Accepting new patients |
| Horizon Medical Group, P.C. | Current | Accepting new patients | |
| Goshen Medical Associates PC | Past | Accepting new patients |
Locations
19 Laurel Ave
Ste 101
Cornwall, NY 12518
Phone (845) 534-9820
21 Edward J Lempka Dr
Florida, NY 10921
Phone (845) 284-2733
30 Hatfield Ln
Ste 208
Goshen, NY 10924
Phone (845) 294-0994
30 Hatfield Ln
Bldg 2
Goshen, NY 10924
Phone (845) 291-7495
2 Coates Dr
Goshen, NY 10924
Phone (845) 651-1400
30 Hatfield Ln
Ste 207
Goshen, NY 10924
Phone (845) 291-7400
Networks
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/DGICBA
- rachel.colvin@hfmg.eclinicaldirectplus.com
Organizations & group practices 3
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.
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- Yorktown Heights, NY
- NPI 1386520021
-
- Pulmonary Disease Physician
- Goshen, NY
- NPI 1689620973
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Goshen, NY
- NPI 1598130403
Dialysis facility
-
- General Acute Care Hospital
- Port Jervis, NY
- NPI 1659360709
-
- General Acute Care Hospital
- Middletown, NY
- NPI 1609875772
-
- Rural Acute Care Hospital
- Harris, NY
- NPI 1710977012
-
- General Acute Care Hospital
- Warwick, NY
- NPI 1598755324
-
- General Acute Care Hospital
- Newburgh, NY
- NPI 1003923434
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1348704000000",
"number": "1174511992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 COATES DR",
"city": "GOSHEN",
"state": "NY",
"postal_code": "109246758",
"telephone_number": "845-651-1400",
"fax_number": "845-651-1512"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 HATFIELD LN",
"address_2": "SUITE 208",
"city": "GOSHEN",
"state": "NY",
"postal_code": "109246766",
"telephone_number": "845-294-0994",
"fax_number": "845-615-1376"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLVIN",
"first_name": "RACHEL",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-06",
"last_updated": "2012-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "209161",
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "NY",
"license": "209161",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "48101",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02154387",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "A400001726",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Goshen, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2012; 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.