Active NPI
Neal Arthur Baillargeon, MD
- Family Medicine Physician
- Philmont, NY
National Provider Identifier
1295710291
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 161495
- Practice address
- 11 Elm Street
Philmont, NY 12565 - Phone
- (518) 672-5401
- Fax
- (518) 672-5403
- NPI assigned
- Dec 13, 2005
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 161495 | NY | Primary |
Addresses
Primary practice location
11 Elm Street
Philmont, NY 12565
Mailing address
PO Box 766
90 Broad St
Kinderhook, NY 12106-0766
Phone (518) 758-7252
Other practice location 1
90 Broad St
Kinderhook, NY 12106
Phone (518) 758-7252
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00942154 | Medicaid | NY |
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 |
|---|---|---|---|---|
| I20071110000146 | NY | Practitioner - Family Practice | 5597853432 | Practice locations: Kinderhook, NY; Philmont, NY |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Neal a. Bailalrgeon M.D.F.a.a.F.P | Family Medicine | Past | Accepting new patients |
| Neal a Baillargeon | Family Medicine | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Kinderhook, NY
- NPI 1508279423
Family Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564012800000",
"number": "1295710291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 766",
"address_2": "90 BROAD ST",
"city": "KINDERHOOK",
"state": "NY",
"postal_code": "121060766",
"telephone_number": "518-758-7252",
"fax_number": "518-758-1963"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11 ELM STREET",
"city": "PHILMONT",
"state": "NY",
"postal_code": "12565",
"telephone_number": "518-672-5401",
"fax_number": "518-672-5403"
}
],
"practiceLocations": [
{
"address_1": "90 Broad St",
"address_purpose": "LOCATION",
"city": "Kinderhook",
"state": "NY",
"postal_code": "12106",
"country_code": "US",
"telephone_number": "518-758-7252",
"fax_number": "518-758-1963",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BAILLARGEON",
"first_name": "NEAL",
"middle_name": "ARTHUR",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-12-13",
"last_updated": "2019-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "161495",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00942154",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Philmont, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2019; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.