Individual provider Active NPI

Irvin Rafael Sanchez, MD

  • Anesthesiology Physician
  • Watertown, NY
National Provider Identifier
1174785000
Registry record updated Sep 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
263816 Issued in NY
Practice address
826 Washington St FL 3
Watertown, NY 13601-4063
Phone
(603) 361-9051
NPI assigned
Jul 1, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 263816 NY Primary

Addresses

Primary practice location

826 Washington St FL 3
Watertown, NY 13601-4063

Mailing address

826 Washington St
Watertown, NY 13601-4063
Phone (315) 785-8509

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
I20131022000073 NY Practitioner - Anesthesiology 1254566623 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Geisel School of Medicine at Dartmouth, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jefferson Anesthesiologist Services PCGroup PAC ID 0840289260, 37 clinicians

Practice addresses (Care Compare)

830 Washington St
Watertown, NY 13601-4034
Phone (315) 785-8509

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.77 of 100Reported as group
Quality
88.12
Improvement activities
40
Cost
77.69

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
263816NYMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jefferson Anesthesiologist Services PC Anesthesiology CurrentSince Aug 26, 2013 Accepting new patients
Samaritan Medical Practice, PC Past Accepting new patients

Locations

830 Washington St
Watertown, NY 13601
Phone (315) 785-4000

826 Washington St
Watertown, NY 13601
Phone (315) 782-1505

826 Washington St
Fl 3
Watertown, NY 13601
Phone (315) 785-4000

Organizations & group practices 2

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 1

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": "1214870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378252800000",
    "number": "1174785000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "826 WASHINGTON ST",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136014063",
            "telephone_number": "315-785-8509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "826 WASHINGTON ST FL 3",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136014063",
            "telephone_number": "603-361-9051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANCHEZ",
        "first_name": "IRVIN",
        "middle_name": "RAFAEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-01",
        "last_updated": "2013-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "263816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watertown, NY

Sources for this page

Verify at the official NPI Registry.