Individual provider Active NPI

Camilo G Torres, MD

  • Radiation Oncology Physician
  • Kingston, NY
National Provider Identifier
1285613539
Registry record updated Nov 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
199114 Issued in NY
Practice address
111 Marys Ave
Kingston, NY 12401-5852
Phone
(845) 339-7700
NPI assigned
Jan 14, 2006
Last updated
Nov 30, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 199114 NY Primary

Addresses

Primary practice location

111 Marys Ave
Kingston, NY 12401-5852

Mailing address

45 Reade Place
Dyson Center, 1St Floor
Poughkeepsie, NY 12601-3947
Phone (845) 431-5645

Other identifiers 11

IdentifierTypeStateIssuer
000416872003OtherNYBCBS NE NY
4193770OtherNYGHI PPO
000416872001OtherNYBCBS NE NY
02563808MedicaidNY
711979OtherNYMVP
2269E1OtherNYEMPIRE BCBS
711980OtherNYMVP
80864OtherNYGHI HMO
10079636OtherNYCDPHP
000416872002OtherNYBCBS NE NY
2270E1OtherNYEMPIRE BCBS

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
I20040727000158 NY Practitioner - Radiation Oncology 9335119619 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Medical Group of the Hudson Valley P.C. CurrentSince Sep 13, 2017 Accepting new patients
Premier Medical Group of the Hudson Valley, P.C. CurrentSince Sep 13, 2017 Accepting new patients
Kingston Radiation Oncology Radiation Oncology Past Accepting new patients

Locations

111 Marys Ave
Kingston, NY 12401
Phone (845) 339-4900

111 Marys Ave
Ste 1
Kingston, NY 12401
Phone (845) 339-7700

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

Interoperability endpoints

  • Direct secure messaging: camilo.torres@directaddress.net
  • Direct secure messaging: ctorres1@direct.health-quest.org

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1137196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480464000000",
    "number": "1285613539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 READE PLACE",
            "address_2": "DYSON CENTER, 1ST FLOOR",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126013947",
            "telephone_number": "845-431-5645",
            "fax_number": "845-437-3123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 MARYS AVE",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124015852",
            "telephone_number": "845-339-7700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TORRES",
        "first_name": "CAMILO",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-14",
        "last_updated": "2016-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "NY",
            "license": "199114",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NE NY",
            "identifier": "000416872003",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI PPO",
            "identifier": "4193770",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NE NY",
            "identifier": "000416872001",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02563808",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "711979",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BCBS",
            "identifier": "2269E1",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "711980",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI HMO",
            "identifier": "80864",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDPHP",
            "identifier": "10079636",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NE NY",
            "identifier": "000416872002",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BCBS",
            "identifier": "2270E1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingston, NY

Sources for this page

Verify at the official NPI Registry.