NPIMap

Organization Active NPI

Auburn Community Hospital

  • Internal Medicine Physician
  • Auburn, NY
National Provider Identifier
1225659964
Registry record updated Jan 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
AUBURN COMMUNITY HOSPITAL
Practice address
17 Lansing St
Auburn, NY 13021-1983
Phone
(315) 255-7011
Fax
(315) 255-7289
NPI assigned
May 5, 2020
Last updated
Jan 15, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
AUBURN COMMUNITY HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 15, 2021

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

Authorized official

Name
Melanie Catalfano
Title
Medical Staff Manager
Phone
(315) 255-7438

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X Primary

Addresses

Primary practice location

17 Lansing St
Auburn, NY 13021-1983

Mailing address

17 Lansing St
Auburn, NY 13021-1983
Phone (315) 255-7438

Other identifiers 1

IdentifierTypeStateIssuer
03260597MedicaidNY

Other names 1

  • Auburn Community Hospital-Hospitalist Service Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210405000936 NY Part B Supplier - Hospital Department(S) 2365346525 Receives reassigned benefits from 25 practitioners
Practice locations: Auburn, NY

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Part of
Auburn Memorial Hospital

Locations

17 Lansing St
Ste 301
Auburn, NY 13021
Phone (315) 567-0700

803 W Genesee Street Rd
Skaneateles, NY 13152
Phone (315) 685-9355

833 W Genesee Street Rd
Skaneateles, NY 13152
Phone (315) 668-5110

Practitioners & affiliated clinicians

Practitioners 37

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 37

NPI Registry JSON

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

{
    "created_epoch": "1588636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610668800000",
    "number": "1225659964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 LANSING ST",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130211983",
            "telephone_number": "315-255-7438",
            "fax_number": "315-255-7289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 LANSING ST",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130211983",
            "telephone_number": "315-255-7011",
            "fax_number": "315-255-7289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUBURN COMMUNITY HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AUBURN COMMUNITY HOSPITAL",
        "enumeration_date": "2020-05-05",
        "last_updated": "2021-01-15",
        "certification_date": "2021-01-15",
        "status": "A",
        "authorized_official_last_name": "CATALFANO",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_title_or_position": "MEDICAL STAFF MANAGER",
        "authorized_official_telephone_number": "315-255-7438"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03260597",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Auburn Community Hospital-Hospitalist Service",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Auburn Community Hospital-Hospitalist Service",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Auburn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.