NPIMap

Individual provider Active NPI

Courtney Nicole Pineau, M.D

  • Obstetrics & Gynecology Physician
  • Rome, NY
National Provider Identifier
1205219813
Registry record updated May 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
300659 Issued in NY
Practice address
1614 N James St
Rome, NY 13440-2830
Phone
(315) 338-7284
Fax
(315) 338-7286
NPI assigned
Jun 30, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 300659 NY Primary

Addresses

Primary practice location

1614 N James St
Rome, NY 13440-2830

Mailing address

PO Box 2000
East Syracuse, NY 13057-4500
Phone (315) 362-5129

Other practice location 1

155 W Dominick St
Rome, NY 13440-5856
Phone (315) 338-7057

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191022001476 NY Practitioner - Obstetrics/Gynecology 5092047274 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rome Medical Practice PCGroup PAC ID 1456366145, 9 clinicians

Practice addresses (Care Compare)

7900 Turin Rd
Suite 2
Rome, NY 13440-1900
Phone (315) 338-7284

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rome Medical Practice PC CurrentSince Sep 15, 2019 Accepting new patients
Rome Memorial Hospital, Inc. CurrentSince Jan 26, 2020 Accepting new patients
Rome Memorial Hospital, Inc. CurrentSince Jan 26, 2020 Accepting new patients
Rome Medical Practice Obstetrics & Gynecology PastSince Apr 1, 2020 Accepting new patients
Rome Memorial Hospital, Inc. Past Accepting new patients

Locations

7900 Turin Rd
Ste 2
Rome, NY 13440
Phone (315) 338-7284

1614 N James St
Rome, NY 13440
Phone (315) 336-0565

267 Avery Ln
Ste 300
Rome, NY 13441
Phone (315) 338-7015

1500 N James St
Rome, NY 13440
Phone (315) 338-7000

155 W Dominick St
Rome, NY 13440
Phone (315) 338-7057

107 E Chestnut St
Ste 102
Rome, NY 13440
Phone (315) 338-9200

Interoperability endpoints

  • Direct secure messaging: cpineau@rmhclinics.medentdirect.com
  • Direct secure messaging: cpineau@rmh.medalliesdirect.net

Organizations & group practices 5

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 8

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": "1435622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683763200000",
    "number": "1205219813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2000",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130574500",
            "telephone_number": "315-362-5129",
            "fax_number": "315-362-5179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1614 N JAMES ST",
            "city": "ROME",
            "state": "NY",
            "postal_code": "134402830",
            "telephone_number": "315-338-7284",
            "fax_number": "315-338-7286"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "155 W Dominick St",
            "address_purpose": "LOCATION",
            "city": "Rome",
            "state": "NY",
            "postal_code": "134405856",
            "country_code": "US",
            "telephone_number": "315-338-7057",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PINEAU",
        "first_name": "COURTNEY",
        "middle_name": "NICOLE",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-30",
        "last_updated": "2023-05-11",
        "certification_date": "2023-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "300659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rome, NY

Sources for this page

Verify at the official NPI Registry.