Individual provider Active NPI

James M McAvey, MD

  • Internal Medicine Physician
  • Mount Kisco, NY
National Provider Identifier
1174517155
Registry record updated Sep 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
1292761 Issued in NY
Practice address
15 Moore Ave
Mount Kisco, NY 10549-3100
Phone
(914) 666-9142
NPI assigned
Sep 7, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 1292761 NY Primary

Addresses

Primary practice location

15 Moore Ave
Mount Kisco, NY 10549-3100

Mailing address

15 Moore Ave
Mount Kisco, NY 10549-3100
Phone (914) 666-9142

Other identifiers 1

IdentifierTypeStateIssuer
00408993MedicaidNY

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
I20110128000763 NY Practitioner - Internal Medicine 7012196538 Practice locations: Mount Kisco, NY

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
129276NYMDSocial Worker
1292761NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
James McAvey MD PC Internal Medicine PastSince Sep 1, 1976 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1126051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285027200000",
    "number": "1174517155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 MOORE AVE",
            "city": "MOUNT KISCO",
            "state": "NY",
            "postal_code": "105493100",
            "telephone_number": "914-666-9142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 MOORE AVE",
            "city": "MOUNT KISCO",
            "state": "NY",
            "postal_code": "105493100",
            "telephone_number": "914-666-9142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCAVEY",
        "first_name": "JAMES",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-07",
        "last_updated": "2010-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "1292761",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00408993",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Kisco, NY

Sources for this page

Verify at the official NPI Registry.