Richard L Eglow, MD

Primary specialty

SpecialistTaxonomy code 174400000X

License

181673 Issued in NY

Practice address

2200 Burdett Ave
Suite 103
Troy, NY 12180-2451

Phone

(518) 272-0800

Fax

(518) 272-0843

NPI assigned

Mar 7, 2007

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 1

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

Merit-based Incentive Payment System (MIPS)

Final score

88.24 of 100Reported as group

Quality

88.57

Improvement activities

40

Cost

76.03

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: richardl.eglow@upstategastroassocpc.chartmakerdirect.com

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347840000000",
    "number": "1184754129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 BURDETT AVE",
            "address_2": "SUITE 103",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121802451",
            "telephone_number": "518-272-0800",
            "fax_number": "518-272-0843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 BURDETT AVE",
            "address_2": "SUITE 103",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121802451",
            "telephone_number": "518-272-0800",
            "fax_number": "518-272-0843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EGLOW",
        "first_name": "RICHARD",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-07",
        "last_updated": "2012-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "181673",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01182961",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Earl T. Edwards, CASAC 1
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• Dalia Eldeiry, MD

• Specialist in Troy, NY
• Providers in Troy, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2012; 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.