Carmen S Bautista Dator, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

2300280 Issued in NY

Practice address

177 W 4TH St
Oswego, NY 13126-3009

Phone

(315) 343-2151

Fax

(315) 343-2100

NPI assigned

Jul 16, 2006

Last updated

Mar 5, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Family PracticeAlso: Internal Medicine

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Carmen Bautista-Dator MD PCGroup PAC ID 4688617764, 2 clinicians

Dator Medical, PLLCGroup PAC ID 5799276549, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Oswego Health Home Care, LLC Home health agency, Fulton, NY, CCN 337284
• Centerwell Home Health Home health agency, Liverpool, NY, CCN 337255
• Oswego Hospital Hospital, Oswego, NY, CCN 330218

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: carmen@drcarmendator.amazing-direct.com

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.

• Carmen Bautista-Dator MD PC

  • Internal Medicine Physician
  • Oswego, NY
  • NPI 1912066242
  Medicare reassignment Care Compare group NPD Authorized official
• Dator Medical PLLC

  • Family Medicine Physician
  • Oswego, NY
  • NPI 1841172368
  Medicare reassignment Care Compare group NPD
• Ontario Lakeside Medical Associates

  • Internal Medicine Physician
  • Oswego, NY
  • NPI 1184645368
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Oswego Health Home Care LLC..

  • Home Health Agency
  • Fulton, NY
  • NPI 1285639625
  Care Compare affiliation
• Oswego Hospital

  • General Acute Care Hospital
  • Oswego, NY
  • NPI 1871678458
  Care Compare affiliation
• QC-Medi New York, Inc.

  dba CenterWell Home Health

  • Home Health Agency
  • Syracuse, NY
  • NPI 1912939489
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551744000000",
    "number": "1346267291",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "177 W 4TH ST",
            "city": "OSWEGO",
            "state": "NY",
            "postal_code": "131263009",
            "telephone_number": "315-343-2151",
            "fax_number": "315-343-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "177 W 4TH ST",
            "city": "OSWEGO",
            "state": "NY",
            "postal_code": "131263009",
            "telephone_number": "315-343-2151",
            "fax_number": "315-343-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUTISTA DATOR",
        "first_name": "CARMEN",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-16",
        "last_updated": "2019-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "2300280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Barton, RN
• Monika S Barton, LPN
• David Bass, DO
• Jessica Basta, TSHH
• Christopher Battles
• Abbey Gale Dela Cruz Bautista
• Cynthia Lou Baxter, PTA
• Beacon Psychological Services
• Maya M Beck
• Megan Beck

• Internal Medicine Physician in Oswego, NY
• Providers in Oswego, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.
• 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.

Verify at the official NPI Registry.