Individual provider Active NPI

Neal Arthur Baillargeon, MD

  • Family Medicine Physician
  • Philmont, NY
National Provider Identifier
1295710291
Registry record updated Jul 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
161495 Issued in NY
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

Updated by the provider on Jul 25, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00942154MedicaidNY

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
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

OrganizationSpecialtyStatusNew patients
Neal a. Bailalrgeon M.D.F.a.a.F.P Family Medicine PastSince Jan 1, 1990 Accepting new patients
Neal a Baillargeon Family Medicine PastSince Jan 1, 1990 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.

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

Verify at the official NPI Registry.