Individual provider Active NPI

Zachary A. Kanouse, M.D.

  • Surgery Physician
  • Plattsburgh, NY
National Provider Identifier
1235426024
Registry record updated May 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
290259 Issued in NY
Practice address
214 Cornelia St Ste 102
Plattsburgh, NY 12901-2332
Phone
(518) 561-6410
NPI assigned
Jun 30, 2011
Last updated
May 4, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 290259 NY Primary

Addresses

Primary practice location

214 Cornelia St Ste 102
Plattsburgh, NY 12901-2332

Mailing address

214 Cornelia St Ste 102
Plattsburgh, NY 12901-2332
Phone (518) 561-6410

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20161011002529 VT Practitioner - General Surgery 7012210313 Reassigns benefits to 1 organization
I20171117001099 NY Practitioner - General Surgery 7012210313 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Louisville School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

75 Beekman St
Plattsburgh, NY 12901-1438
Phone (518) 561-2000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair (minimally invasive)1-10
Mastectomy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
290259NYMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alice Hyde Medical Center Current Accepting new patients
Champlain Valley Physicians Hospital Medical Center Surgery CurrentSince Oct 1, 2017 Accepting new patients
Alice Hyde Medical Center Surgery CurrentSince Feb 2, 2019 Accepting new patients
University of Vermont Medical Center Inc Surgery CurrentSince Jul 23, 2016 Accepting new patients
Champlain Valley Physicians Hospital Medical Center Past Accepting new patients
Alice Hyde Medical Center Past Accepting new patients

Locations

969 State Route 11
Moira, NY 12957
Phone (518) 529-7847

214 Cornelia St
Ste 102
Plattsburgh, NY 12901
Phone (518) 561-6410

75 Beekman St
Plattsburgh, NY 12901
Phone (518) 562-7100

1 S Prospect St
Burlington, VT 05401
Phone (802) 847-4531

111 Colchester Ave
Burlington, VT 05401
Phone (802) 656-2415

Interoperability endpoints

  • Direct secure messaging: zkanouse83635@direct.uvmhealth.org

Organizations & group practices 6

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.

Hospital & facility affiliations 4

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": "1309392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525392000000",
    "number": "1235426024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 CORNELIA ST STE 102",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129012332",
            "telephone_number": "518-561-6410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 CORNELIA ST STE 102",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129012332",
            "telephone_number": "518-561-6410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANOUSE",
        "first_name": "ZACHARY",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-30",
        "last_updated": "2018-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "290259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plattsburgh, NY

Sources for this page

Verify at the official NPI Registry.