Hamerton David Jeanty, M.D.

Primary specialty

Hospitalist PhysicianTaxonomy code 208M00000X

License

287078 Issued in NY

Practice address

1656 Champlin Ave
Utica, NY 13502-4830

Phone

(315) 624-6829

Fax

(315) 624-6469

NPI assigned

May 16, 2012

Last updated

Apr 30, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

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

85.28 of 100Reported as group

Quality

75.06

Promoting interoperability

100

Improvement activities

40

Cost

69.26

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 4

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Presbyterian Home for Central New York Inc

  • Skilled Nursing Facility
  • New Hartford, NY
  • NPI 1649370990

  Adp of the SNF, Operational/Managerial Control

  CMS ownership
• St Luke's Home Residential Health Care Facility Inc

  dba MVHS Rehabilitation & Nursing Home

  • Skilled Nursing Facility
  • Utica, NY
  • NPI 1548331143

  Adp of the SNF, Corporate Officer, Operational/Managerial Control

  CMS ownership
• St Luke's Home Residential Healthcare Facility Inc

  dba MVHS Rehabilitation and Nursing Center

  • Skilled Nursing Facility
  • Utica, NY
  • NPI 1003904863

  Adp of the SNF, Corporate Officer, Operational/Managerial Control

  CMS ownership
• St Luke's Residential Healthcare Facility Inc

  dba MVHS Rehabilitation and Nursing Center

  • Skilled Nursing Facility
  • Utica, NY
  • NPI 1578578126

  Adp of the SNF, Corporate Officer, Operational/Managerial Control

  CMS ownership

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• MVHS Inc

  dba Mohawk Valley Health System Inc

  • Family Medicine Physician
  • Utica, NY
  • NPI 1770690737
  Medicare reassignment NPD
• New York General Medical Services PC

  • Hospitalist Physician
  • New York, NY
  • NPI 1700315538
  Medicare reassignment NPD
• CS Pacs 3 Northeast, LLC

  • Hospitalist Physician
  • Frederick, MD
  • NPI 1093598898

  NY

  Medicare reassignment NPD
• NV Pacs 2 LLC

  • Hospitalist Physician
  • Las Vegas, NV
  • NPI 1427534809

  NY

  Medicare reassignment NPD
• MVHS Inc

  dba Mohawk Valley Health System Inc

  • Community/Retail Pharmacy
  • Utica, NY
  • NPI 1306573753
  NPD
• Auburn Senior Services, Inc.

  • Skilled Nursing Facility
  • Auburn, NY
  • NPI 1740610575
  NPD (past)
• Bethany Operating Co LLC

  • Skilled Nursing Facility
  • Rome, NY
  • NPI 1447257449
  NPD (past)
• Betsy Ross Rehabilitation Center

  • Skilled Nursing Facility
  • Rome, NY
  • NPI 1881767085
  NPD (past)
• Katherine Luther Residential Healthcare & Rehabilitation Center, Inc

  • Skilled Nursing Facility
  • Clinton, NY
  • NPI 1477754802
  NPD (past)
• Loretto Health and Rehabilitation Center

  • Skilled Nursing Facility
  • Syracuse, NY
  • NPI 1588650873
  NPD (past)
• Presbyterian Home for Central New York Inc

  • Skilled Nursing Facility
  • New Hartford, NY
  • NPI 1649370990
  NPD (past)
• St Luke's Home Residential Health Care Facility Inc

  dba MVHS Rehabilitation & Nursing Home

  • Skilled Nursing Facility
  • Utica, NY
  • NPI 1548331143
  NPD (past)

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

{
    "created_epoch": "1337126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714435200000",
    "number": "1215297882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2209 GENESEE STREET",
            "address_2": "BUSINESS OFFICE ROOM 315",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "13501",
            "telephone_number": "315-801-3282",
            "fax_number": "315-801-8391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1656 CHAMPLIN AVE",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135024830",
            "telephone_number": "315-624-6829",
            "fax_number": "315-624-6469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEANTY",
        "first_name": "HAMERTON",
        "middle_name": "DAVID",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-16",
        "last_updated": "2024-04-30",
        "certification_date": "2024-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "28707801",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NY",
            "license": "287078",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04630695",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Hospitalist Physician in Utica, NY
• Providers in Utica, NY by specialty
• Hospitalist Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.