Active NPI
Ingrid Bermudez, M.D.
- Family Medicine Physician
- Mechanicville, NY
National Provider Identifier
1295824134
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 236934
- Practice address
- 242 So Central Ave
Mechanicville, NY 12118 - Phone
- (518) 664-4185
- Fax
- (518) 539-2003
- NPI assigned
- Oct 11, 2006
- Sex
- Female
- 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 | 236934 | NY | Primary |
Addresses
Primary practice location
242 So Central Ave
Mechanicville, NY 12118
Mailing address
242 So Central Ave
Mechanicville, NY 12118
Phone (518) 664-4185
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
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
242 S Central Ave
Mechanicville, NY 12118-3522
Phone (518) 664-4185
Hospital & facility affiliations
- Eddy Visiting Nurse & Rehab Association
- Samaritan Hospital of Troy, New York
- Saratoga Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 236934 | NY | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Medicine of Mechanicville PLLC | Current | Accepting new patients |
Locations
242 S Central Ave
Mechanicville, NY 12118
Phone (518) 664-4185
Organizations & group practices 1
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.
-
- Primary Care Clinic/Center
- Mechanicville, NY
- NPI 1487898425
Hospital & facility affiliations 20
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Troy, NY
- NPI 1114967924
-
- General Acute Care Hospital
- Troy, NY
- NPI 1043267727
-
- Endocrinology, Diabetes & Metabolism Physician
- Gansevoort, NY
- NPI 1033371166
Hospital
-
- General Acute Care Hospital
- Saratoga Springs, NY
- NPI 1073569331
-
- General Acute Care Hospital
- Saratoga Springs, NY
- NPI 1093078560
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1351209600000",
"number": "1295824134",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "242 SO CENTRAL AVE",
"city": "MECHANICVILLE",
"state": "NY",
"postal_code": "12118",
"telephone_number": "518-664-4185",
"fax_number": "518-539-2003"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "242 SO CENTRAL AVE",
"city": "MECHANICVILLE",
"state": "NY",
"postal_code": "12118",
"telephone_number": "518-664-4185",
"fax_number": "518-539-2003"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERMUDEZ",
"first_name": "INGRID",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-11",
"last_updated": "2012-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "236934",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mechanicville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2012; 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.