NPIMap

Individual provider Active NPI

Laurent Christophe Gilloteaux, MD

  • Diagnostic Radiology Physician
  • Plattsburgh, NY
National Provider Identifier
1265925630
Registry record updated Oct 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
295167 Issued in NY
Practice address
16 Degrandpre Way Ste 600
Plattsburgh, NY 12901-6454
Phone
(518) 563-0490
NPI assigned
Jun 11, 2018
Last updated
Oct 18, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 295167 NY Primary

Addresses

Primary practice location

16 Degrandpre Way Ste 600
Plattsburgh, NY 12901-6454

Mailing address

PO Box 2007
East Syracuse, NY 13057-4507
Phone (315) 362-5285

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180914002395 NY Practitioner - Diagnostic Radiology 9830440759 Reassigns benefits to 5 organizations
I20240130000612 FL Practitioner - Diagnostic Radiology 9830440759 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alice Hyde Medical CenterGroup PAC ID 4082525837, shared by 4 NPIs, 88 clinicians
Elizabethtown Community HospitalGroup PAC ID 3577554138, shared by 3 NPIs, 62 clinicians

Practice addresses (Care Compare)

133 Park St
Malone, NY 12953-1243
Phone (518) 481-2545

4344 Fairfax CT
Ave Maria, FL 34142-5115
Phone (518) 483-3000

5027 Milano St
Ave Maria, FL 34142-9531
Phone (802) 847-1882

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

75 Park St
Elizabethtown, NY 12932-2300
Phone (518) 673-6377

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
295167NYMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Elizabethtown Community Hospital CurrentSince Mar 18, 2024 Accepting new patients
Alice Hyde Medical Center Current Accepting new patients
Champlain Valley Physicians Hospital Medical Center CurrentSince Mar 17, 2024 Accepting new patients
Afterhours Imaging, LLC Diagnostic Radiology CurrentSince Jul 1, 2022 Accepting new patients
Elizabethtown Community Hospital Current Accepting new patients
Alice Hyde Medical Center CurrentSince Mar 31, 2024 Accepting new patients
Alice Hyde Medical Center Current Accepting new patients
Elizabethtown Community Hospital CurrentSince Apr 23, 2024 Accepting new patients
Alice Hyde Medical Center Past Accepting new patients

Locations

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

16 Degrandpre Way
Ste 600
Plattsburgh, NY 12901
Phone (518) 562-7500

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

101 Adirondack Dr
Ste 1
Ticonderoga, NY 12883
Phone (518) 585-2831

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/elizabe-e663f886
  • Direct secure messaging: lgilloteaux418359@direct.uvmhealth.org

Organizations & group practices 9

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 7

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": "1528675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602979200000",
    "number": "1265925630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2007",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130574507",
            "telephone_number": "315-362-5285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 DEGRANDPRE WAY STE 600",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129016454",
            "telephone_number": "518-563-0490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GILLOTEAUX",
        "first_name": "LAURENT",
        "middle_name": "CHRISTOPHE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-11",
        "last_updated": "2020-10-18",
        "certification_date": "2020-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "295167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plattsburgh, NY

Sources for this page

Verify at the official NPI Registry.