Active NPI
Keith Walter Cartmill, MD
- Emergency Medicine Physician
- Tonawanda, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 250948-1
- Practice address
- 71 Raintree Is Apt 5
Tonawanda, NY 14150-2736 - Phone
- (914) 489-5131
- NPI assigned
- Sep 24, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 250948-1 | NY | Primary |
Addresses
Primary practice location
71 Raintree Is Apt 5
Tonawanda, NY 14150-2736
Mailing address
100 High St
Buffalo, NY 14203-1126
Phone (914) 489-5131
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03240719 | Medicaid | NY |
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.
-
- Emergency Medicine Physician
- Port Jervis, NY
- NPI 1457987521
Emergency Medicine, NY
-
- Emergency Medicine Physician
- Bronx, NY
- NPI 1205944329
Emergency Medicine, NY
-
- Emergency Medicine Physician
- Middletown, NY
- NPI 1902855828
Emergency Medicine, NY
-
- Cardiac Rehabilitation Clinic/Center
- Middletown, NY
- NPI 1174201529
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- New York Medical College, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Delaware River Medicine PLLC
Practice addresses (Care Compare)
160 E Main St
Port Jervis, NY 12771-2253
Phone (845) 858-7000
Hospital & facility affiliations
- Bon Secours Community Hospital
- St Anthony Community Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100610000266 | NY | Practitioner - Emergency Medicine | 1850421389 | Reassigns benefits to 4 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 250948-1 | NY | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Middletown Medical PC | Current | Accepting new patients | |
| Delaware River Medicine, PLLC | Emergency Medicine | Current | Accepting new patients |
| Cogent Medical Care PC | Current | Accepting new patients | |
| Hospitalist Medicine Physicians of New York, PLLC | Emergency Medicine | Current | Accepting new patients |
| Middletown Medical PC | Emergency Medicine | Current | Accepting new patients |
Locations
2475 Saint Raymonds Ave
Bronx, NY 10461
Phone (718) 430-7300
111 Maltese Dr
Middletown, NY 10940
707 E Main St
Middletown, NY 10940
Phone (845) 333-1000
12 N 7th Ave
Mount Vernon, NY 10550
Phone (914) 361-6511
101 Hospital Rd
Patchogue, NY 11772
Phone (631) 654-7100
160 E Main St
Port Jervis, NY 12771
Phone (845) 856-7000
15 Maple Ave
Warwick, NY 10990
Phone (845) 986-2224
127 S Broadway
Yonkers, NY 10701
Phone (914) 378-7342
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1496707200000",
"number": "1245480474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 HIGH ST",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142031126",
"telephone_number": "914-489-5131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "71 RAINTREE IS APT 5",
"city": "TONAWANDA",
"state": "NY",
"postal_code": "141502736",
"telephone_number": "914-489-5131"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARTMILL",
"first_name": "KEITH",
"middle_name": "WALTER",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-09-24",
"last_updated": "2017-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NY",
"license": "250948-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03240719",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tonawanda, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; 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.