NPIMap

Individual provider Active NPI

Joseph W Hinterberger, MD

  • Family Medicine Physician
  • Dundee, NY
National Provider Identifier
1326043464
Registry record updated Jan 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
196510 Issued in NY
Practice address
30 Millard St
Dundee, NY 14837-1024
Phone
(607) 243-8311
Fax
(607) 243-8483
NPI assigned
Jun 16, 2005
Last updated
Jan 27, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2014

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 196510 NY Primary

Addresses

Primary practice location

30 Millard St
Dundee, NY 14837-1024

Mailing address

220 Steuben Street
Montour Fallsa, NY 14865
Phone (607) 535-7121

Other identifiers 5

IdentifierTypeStateIssuer
01599146MedicaidNY
P010196510OtherNYEXCELLUS BCBS
5997157OtherNYGHI
000914169002OtherNYHEALTHNOW
P41754OtherNYGHIFHP

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100319000759 NY Practitioner - Family Practice 5799790556 Reassigns benefits to 2 organizations

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
Soldiers and Sailors Memorial HospitalGroup PAC ID 0446164255, shared by 8 NPIs, 35 clinicians

Practice addresses (Care Compare)

50 Millard St
Dundee, NY 14837-9400
Phone (607) 234-7881

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
196510NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Soldiers & Sailors Memorial Hospital CurrentSince Sep 26, 2016 Accepting new patients
Soldiers & Sailors Memorial Hospital Current Accepting new patients
Soldiers & Sailors Memorial Hospital Family Medicine CurrentSince Sep 26, 2016 Accepting new patients

Locations

50 Millard St
Dundee, NY 14837
Phone (607) 234-7881

418 N Main St
Penn Yan, NY 14527
Phone (315) 531-2000

1001 W Fayette St
Ste 400
Syracuse, NY 13204
Phone (315) 472-1488

Interoperability endpoints

  • Direct secure messaging: j.hinterberger@flhmedical.medentdirect.com

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.

Hospital & facility affiliations 9

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": "1118880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390780800000",
    "number": "1326043464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 STEUBEN STREET",
            "city": "MONTOUR FALLSA",
            "state": "NY",
            "postal_code": "14865",
            "telephone_number": "607-535-7121",
            "fax_number": "607-243-8483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 MILLARD ST",
            "city": "DUNDEE",
            "state": "NY",
            "postal_code": "148371024",
            "telephone_number": "607-243-8311",
            "fax_number": "607-243-8483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINTERBERGER",
        "first_name": "JOSEPH",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-16",
        "last_updated": "2014-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "196510",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01599146",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EXCELLUS BCBS",
            "identifier": "P010196510",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "5997157",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNOW",
            "identifier": "000914169002",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHIFHP",
            "identifier": "P41754",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dundee, NY

Sources for this page

Verify at the official NPI Registry.