NPIMap

Individual provider Active NPI

Allen C Hutcheson, MD

  • Family Medicine Physician
  • Bronx, NY
National Provider Identifier
1336224443
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
226933 Issued in NY
Practice address
MMG - Fordham Family Practice
One Fordham Plaza
Bronx, NY 10458
Phone
(718) 405-4010
NPI assigned
Oct 26, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 226933 NY Primary

Addresses

Primary practice location

MMG - Fordham Family Practice
One Fordham Plaza
Bronx, NY 10458

Mailing address

900 W 190TH St
Apt. 16J
New York, NY 10040-3633
Phone (718) 405-4010

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, VT2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20041018001148 NY Practitioner - Family Practice 3971563487 Reassigns benefits to 1 organization
I20110919000517 VT Practitioner - Family Practice 3971563487 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Medical University of South Carolina College of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Twin Rivers Medical PCGroup PAC ID 6406123405, 17 clinicians

Practice addresses (Care Compare)

100 Hospital Dr
Bennington, VT 05201-5004
Phone (802) 442-6361

140 Hospital Dr
Bennington, VT 05201-5010

140 Hospital Dr
Bennington, VT 05201-5018

16 Danforth St
Hoosick Falls, NY 12090-1226
Phone (518) 686-5770

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Twin Rivers Medical PC CurrentSince Apr 3, 2017 Accepting new patients
Southwestern Vermont Medical Center Inc. Family Medicine Current Accepting new patients
Twin Rivers Medical PC Family Medicine CurrentSince Apr 3, 2017 Accepting new patients
Southwestern Vermont Medical Center, Inc CurrentSince Jun 4, 2012 Accepting new patients
Montefiore Medical Center Past Accepting new patients
Primary Care Health Partners PastSince Dec 6, 2022 Accepting new patients
Southwestern Vermont Medical Center, Inc Past Accepting new patients

Locations

16 Danforth St
Hoosick Falls, NY 12090
Phone (518) 686-5002

100 Hospital Dr
Bennington, VT 05201
Phone (802) 447-4509

120 Hospital Dr
Bennington, VT 05201
Phone (802) 440-4077

140 Hospital Dr
Ste 116
Bennington, VT 05201
Phone (802) 447-1836

2 Blackberry Ln
Woodford, VT 05201
Phone (518) 686-5770

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3744/brand/4/csg/23/fhir/r4

Organizations & group practices 7

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 8

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": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1336224443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 W 190TH ST",
            "address_2": "APT. 16J",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100403633",
            "telephone_number": "718-405-4010",
            "fax_number": "718-405-4058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MMG - FORDHAM FAMILY PRACTICE",
            "address_2": "ONE FORDHAM PLAZA",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10458",
            "telephone_number": "718-405-4010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUTCHESON",
        "first_name": "ALLEN",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "226933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.