Jerome C Hill, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

1802101 Issued in NY

Practice address

149 S Lake Ave
Albany, NY 12208-3201

Phone

(518) 434-8121

Fax

(518) 426-0620

NPI assigned

Oct 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

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

Specialty

Dermatology

Education

Albany Medical College of Union University, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Capital District Dermatology Associates PCGroup PAC ID 0840387353, 3 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jhill834324@direct.trinity-health.org

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.

• Capital District Dermatology Associates PC

  • Dermatology Physician
  • Glenmont, NY
  • NPI 1932281524
  Medicare reassignment Care Compare group NPD Authorized official
• Albany Medical College

  dba Albany Med EmUrgent Care

  • Urgent Care Clinic/Center
  • Albany, NY
  • NPI 1386038925
  NPD (past)
• Albany Medical College

  dba Albany Medical College Dept of Pathology and Laboratory Medicine

  • Pediatric Pathology Physician
  • Albany, NY
  • NPI 1568496438
  NPD (past)

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214179200000",
    "number": "1174605760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 WANDER COURT",
            "city": "GLENMONT",
            "state": "NY",
            "postal_code": "12077",
            "telephone_number": "518-439-6244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "149 S LAKE AVE",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122083201",
            "telephone_number": "518-434-8121",
            "fax_number": "518-426-0620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HILL",
        "first_name": "JEROME",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-20",
        "last_updated": "2008-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NY",
            "license": "1802101",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP INS",
            "identifier": "07210",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDPHP INS",
            "identifier": "10000891",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "070008567",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hill-Rom Company, Inc.
• Alissa Hill
• Barbara J. Hill, FNP-C
• Courtney Marie Hill, LCSW
• Elaine Jennifer Hill, OT
• Jerome D Hill
• John Warren Hill, M.A.
• Jonathan Hill, MD
• Rachel Hill, PHD
• Abigail Hillary, LMSW

• Dermatology Physician in Albany, NY
• Providers in Albany, NY by specialty
• Dermatology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2008; 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.

Verify at the official NPI Registry.