Individual provider Active NPI

Carl McDougall, MD

  • Gastroenterology Physician
  • New York, NY
National Provider Identifier
1184672149
Registry record updated Feb 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
156743 Issued in NY
Practice address
60 E 56TH St
7TH Floor
New York, NY 10022-3204
Phone
(212) 891-6555
Fax
(212) 326-8986
NPI assigned
May 4, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 156743 NY Primary

Addresses

Primary practice location

60 E 56TH St
7TH Floor
New York, NY 10022-3204

Mailing address

60 E 56TH St
FL 7
New York, NY 10022-3344

Other identifiers 1

IdentifierTypeStateIssuer
01071434MedicaidNY

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
I20110331000494 NY Practitioner - GastroenterologyPractitioner - Internal Medicine 2264615095 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
JS Weill Medical College, Cornell University, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
New York Gastroenterology Associates LLPGroup PAC ID 8224929302, 25 clinicians

Practice addresses (Care Compare)

311 E 79TH St
2A
New York, NY 10075-0999
Phone (212) 996-6633

Hospital & facility affiliations

  • New York-Presbyterian Hospital Hospital, New York, NY, CCN 330101

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy106
Upper gastrointestinal (GI) endoscopy for acid reflux35

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Carl McDougall, MD PC Gastroenterology CurrentSince Oct 1, 1984 Accepting new patients
New York Gastroenterology Associates LLP Gastroenterology CurrentSince Aug 1, 2024 Accepting new patients
Yorkville Medical Associates PLLC Past Accepting new patients

Locations

311 E 79th St
#2A
New York, NY 10075
Phone (212) 996-6633

60 E 56th St
Fl 7
New York, NY 10022
Phone (212) 326-8999

Interoperability endpoints

  • FHIR API: https://c900499a-2318-4848-a027-e8b9652a83ae.gastro.prod.fhir.ema-api.com/fhir/r4/
  • Direct secure messaging: cjmcdoug@direct.nyp.org

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 5

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": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580774400000",
    "number": "1184672149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 E 56TH ST",
            "address_2": "FL 7",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100223344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 E 56TH ST",
            "address_2": "7TH FLOOR",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100223204",
            "telephone_number": "212-891-6555",
            "fax_number": "212-326-8986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDOUGALL",
        "first_name": "CARL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2020-02-04",
        "certification_date": "2020-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "156743",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01071434",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.