Individual provider Active NPI

Bruce Chipkin, MD

  • Anesthesiology Physician
  • Poughkeepsie, NY
National Provider Identifier
1215939202
Registry record updated Mar 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
175366 Issued in NY
Practice address
45 Reade PL
Anesthesia Department
Poughkeepsie, NY 12601-3947
Phone
(845) 431-5629
Fax
(703) 766-9725
NPI assigned
Aug 10, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 175366 NY Primary

Addresses

Primary practice location

45 Reade PL
Anesthesia Department
Poughkeepsie, NY 12601-3947

Mailing address

3998 Fair Ridge Dr
Suite 300
Fairfax, VA 22033-2907
Phone (703) 295-9360

Other identifiers 1

IdentifierTypeStateIssuer
01276622MedicaidNY

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
I20051025000297 NY Practitioner - Anesthesiology 8325065873 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
New York Medical College, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Singular Anesthesia Services PLLCGroup PAC ID 7618284092, 72 clinicians

Practice addresses (Care Compare)

55 Palmer Ave
Bronxville, NY 10708-3403
Phone (914) 787-1000

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Singular Anesthesia Services, PLLC Anesthesiology CurrentSince Jan 1, 2022 Accepting new patients
Optum Medical Care, P.C. CurrentSince Nov 8, 2021 Accepting new patients
North American Partners in Anesthesia LLP Anesthesiology CurrentSince Jan 1, 1994 Accepting new patients
Optum Medical Care, P.C. CurrentSince Nov 8, 2021 Accepting new patients
Vassar Brothers Hospital Past Accepting new patients

Locations (25 of 31)

3219 E Tremont Ave
Bronx, NY 10461
Phone (718) 792-7625

1250 Waters Pl
Ste 1206
Bronx, NY 10461

55 Palmer Ave
Bronxville, NY 10708
Phone (914) 787-3136

1 Pondfield Rd W
Ste 2
Bronxville, NY 10708
Phone (914) 472-4610

21 Laurel Ave
Ste 120
Cornwall, NY 12518
Phone (845) 458-7800

1980 Crompond Rd
Cortlandt Mnr, NY 10567
Phone (914) 734-3600

600 Westage Business Ctr Dr
#D
Fishkill, NY 12524

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

141 S Central Ave
Ste 301
Hartsdale, NY 10530
Phone (914) 713-3228

234 N Central Ave
Hartsdale, NY 10530
Phone (914) 529-0027

71 Prospect Ave
Hudson, NY 12534
Phone (518) 262-3773

33 Grand St
Kingston, NY 12401
Phone (845) 338-1535

26 Pearl St
Kingston, NY 12401
Phone (845) 331-8222

117 Marys Ave
Ste 201
Kingston, NY 12401
Phone (845) 331-8146

1110 State Route 55
Ste 107
Lagrangeville, NY 12540
Phone (845) 320-5262

68 S Service Rd
Ste 350
Melville, NY 11747
Phone (516) 945-3107

90 S Bedford Rd
Mount Kisco, NY 10549
Phone (914) 242-1050

1510 Jericho Tpke
New Hyde Park, NY 11040
Phone (516) 216-5341

150 S Pearl St
Pearl River, NY 10965
Phone (845) 623-6141

45 Reade Pl
Poughkeepsie, NY 12601
Phone (845) 331-3131

22 Green St
Poughkeepsie, NY 12601
Phone (845) 471-3720

243 North Rd
Ste 304
Poughkeepsie, NY 12601
Phone (845) 451-7251

21 Reade Pl
Ste 2200
Poughkeepsie, NY 12601
Phone (845) 483-0698

2507 South Rd
Poughkeepsie, NY 12601
Phone (845) 471-2287

341 Central Park Ave
Scarsdale, NY 10583
Phone (718) 676-5309

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722

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.

NPI Registry JSON

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

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426464000000",
    "number": "1215939202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3998 FAIR RIDGE DR",
            "address_2": "SUITE 300",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220332907",
            "telephone_number": "703-295-9360",
            "fax_number": "703-766-9725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 READE PL",
            "address_2": "ANESTHESIA DEPARTMENT",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126013947",
            "telephone_number": "845-431-5629",
            "fax_number": "703-766-9725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHIPKIN",
        "first_name": "BRUCE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-10",
        "last_updated": "2015-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "175366",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01276622",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Poughkeepsie, NY

Sources for this page

Verify at the official NPI Registry.