Individual provider Active NPI

Rachel Colvin, DO

  • Nephrology Physician
  • Goshen, NY
National Provider Identifier
1174511992
Registry record updated Sep 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
209161 Issued in NY
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

Updated by the provider on Sep 27, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
48101MedicaidNJ
02154387MedicaidNY
A400001726OtherMEDICARE

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
I20040206000276 NY Practitioner - Nephrology 7214846062 Reassigns benefits to 1 organization

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
Horizon Medical Group PCGroup PAC ID 6103715529, 78 clinicians

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 Dialysis facility, Goshen, NY, CCN 332737
  • Garnet Health Medical Center Hospital, Middletown, NY, CCN 330126
  • St Anthony Community Hospital Hospital, Warwick, NY, CCN 330205
  • Montefiore St Luke'S Cornwall Hospital, Newburgh, NY, CCN 330264
  • Bon Secours Community Hospital Hospital, Port Jervis, NY, CCN 330135
  • Garnet Health Medical Center Catskills Hospital, Harris, NY, CCN 330386

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209161NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Horizon Medical Group, P.C. Internal Medicine CurrentSince Oct 1, 2008 Accepting new patients
Horizon Medical Group, P.C. CurrentSince Oct 1, 2008 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

  • FHIR API: https://fhir4.healow.com/fhir/r4/DGICBA
  • Direct secure messaging: 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.

Hospital & facility affiliations 7

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": "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

Verify at the official NPI Registry.