Individual provider Active NPI

Andreas Wolter, MD

  • Ophthalmology Physician
  • Poughkeepsie, NY
National Provider Identifier
1184634123
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
218513 Issued in NY
Practice address
23 Davis Avenue
Poughkeepsie, NY 12603
Phone
(845) 454-1025
Fax
(845) 454-5881
NPI assigned
Aug 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 218513 NY Primary

Addresses

Primary practice location

23 Davis Avenue
Poughkeepsie, NY 12603

Mailing address

23 Davis Avenue
Poughkeepsie, NY 12603
Phone (845) 454-1025

Other identifiers 1

IdentifierTypeStateIssuer
02404882MedicaidNY

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
I20051205000677 NY Practitioner - Ophthalmology 4082634324 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
New York Medical College, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2649 Strang Blvd
Suite 204
Yorktown Heights, NY 10598-2938
Phone (845) 440-1175

27 Davis Ave
Poughkeepsie, NY 12603-2416
Phone (845) 454-1025

Merit-based Incentive Payment System (MIPS)

Final score
91.79 of 100Reported as group
Quality
98.27
Improvement activities
40
Cost
74.93

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery252

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Alterman Modi & Wolter Ophthalmic Physicians & Surgeons PLLC Ophthalmology CurrentSince Nov 1, 2005 Accepting new patients

Locations

969 Main St
Ste C
Fishkill, NY 12524
Phone (845) 896-6700

27 Davis Ave
Poughkeepsie, NY 12603
Phone (845) 454-1025

23 Davis Ave
Poughkeepsie, NY 12603
Phone (845) 454-1025

2649 Strang Blvd
Ste 204
Yorktown Heights, NY 10598
Phone (718) 670-1415

Interoperability endpoints

  • Direct secure messaging: awolter@seetaeyecenters.direct.eyemdemr.com

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": "1155081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1184634123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 DAVIS AVENUE",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "12603",
            "telephone_number": "845-454-1025",
            "fax_number": "845-454-5881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 DAVIS AVENUE",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "12603",
            "telephone_number": "845-454-1025",
            "fax_number": "845-454-5881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLTER",
        "first_name": "ANDREAS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "218513",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02404882",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Poughkeepsie, NY

Sources for this page

Verify at the official NPI Registry.