Individual provider Active NPI

Michael L Innerfield, MD

  • Interventional Cardiology Physician
  • West Nyack, NY
National Provider Identifier
1366528739
Registry record updated Sep 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
151314 Issued in NY
Practice address
2 Centerock Rd
West Nyack, NY 10994-2215
Phone
(845) 703-6999
Fax
(845) 703-6297
NPI assigned
Oct 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 151314 NY
Interventional Cardiology Physician 207RI0011X 151314 NY Primary

Addresses

Primary practice location

2 Centerock Rd
West Nyack, NY 10994-2215

Mailing address

155 Crystal Run Rd
Middletown, NY 10941-4028
Phone (845) 703-6999

Other identifiers 1

IdentifierTypeStateIssuer
01073707MedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address michael.innerfieldmd.p1@direct.crystalrun.nextgenshare.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY, PA, GA4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20050920000640 NJ Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Interventional Cardiology 3274567201 Reassigns benefits to 2 organizations
I20070612000600 NY Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Other (Physician) 3274567201 Reassigns benefits to 3 organizations
I20090930000357 PA Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 3274567201 Reassigns benefits to 2 organizations
I20241231003782 GA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 3274567201 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
New York Medical College, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Westchester Medical Center Advanced Physician Services PCGroup PAC ID 3173660776, 879 clinicians
Bon Secours Charity Health System Medical Group, P.C.Group PAC ID 1658262084, 157 clinicians
Crystal Run Healthcare Physicians LLPGroup PAC ID 6901792696, 366 clinicians

Practice addresses (Care Compare)

105 Marys Ave
Kingston, NY 12401-5829
Phone (845) 331-3131

257 Lafayette Ave
Suffern, NY 10901-4830
Phone 845353560025027

300 Crystal Run Rd
Middletown, NY 10941-4069
Phone (845) 692-6999

350 Engle St
Englewood Hospital
Englewood, NJ 07631-1808
Phone (845) 703-6999

396 Broadway
Kingston, NY 12401-4626
Phone (845) 331-3131

95 Grasslands Rd
Valhalla, NY 10595-1652
Phone (914) 493-6940

Hospital & facility affiliations

  • Good Samaritan Hospital of Suffern Hospital, Suffern, NY, CCN 330158
  • Nyack Hospital Hospital, Nyack, NY, CCN 330104
  • Helen Hayes Hospital Hospital, West Haverstraw, NY, CCN 330405
  • Healthalliance Hospital Marys Avenue Campus Hospital, Kingston, NY, CCN 330224

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting25
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
151314NYMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Luke'S Warren Physician Group, PC CurrentSince Aug 1, 2024 Accepting new patients
Crystal Run Healthcare Physicians LLP Cardiovascular Disease CurrentSince Mar 1, 2017 Accepting new patients
St Luke'S Physician Group Inc CurrentSince Aug 1, 2024 Accepting new patients
Wellspan Medical Group Current Accepting new patients
Crystal Run Healthcare Physicians LLP CurrentSince Mar 1, 2017 Accepting new patients
Wellspan Medical Group CurrentSince Jun 14, 2019 Accepting new patients
St. Luke'S Warren Physician Group, PC CurrentSince Aug 1, 2024 Accepting new patients
Westchester Medical Center Advanced Physician Services PC CurrentSince Nov 1, 2024 Accepting new patients
St. Luke'S Warren Physician Group, PC Current Accepting new patients
Westchester Medical Center Advanced Physician Services, PC CurrentSince Nov 1, 2024 Accepting new patients
Wellspan Medical Group CurrentSince Jun 14, 2019 Accepting new patients
Upson Surgical Associates, LLC CurrentSince Sep 16, 2024 Accepting new patients
St. Luke'S Physician Group, Inc. Current Accepting new patients
St. Luke'S Physician Group, Inc. CurrentSince Aug 1, 2024 Accepting new patients
Rockland Cardiology PC Interventional Cardiology PastSince Sep 1, 2013 Accepting new patients
Medical Associates of Englewood, PC PastSince Sep 1, 2013 Accepting new patients
HMC Cardiac Diagnostic Service Cardiovascular Disease Past Accepting new patients

Locations

612 W Gordon St
Ste B
Thomaston, GA 30286
Phone (706) 647-9433

350 Engle St
Englewood, NJ 07631
Phone (201) 871-6073

755 Memorial Pkwy
Ste 106
Phillipsburg, NJ 08865
Phone (908) 454-5221

185 Roseberry St
Bldg 2ND
Phillipsburg, NJ 08865
Phone (908) 847-2619

315 State Route 31 S
Washington, NJ 07882
Phone (908) 689-0777

279 State Route 31 S
Washington, NJ 07882
Phone (908) 689-2201

19 Bradhurst Ave
Ste 3100N
Hawthorne, NY 10532
Phone (914) 231-8373

155 Crystal Run Rd
Middletown, NY 10941

300 Crystal Run Rd
Middletown, NY 10941
Phone (845) 692-6999

255 Lafayette Ave
Suffern, NY 10901
Phone (845) 357-7830

95 Grasslands Rd
Valhalla, NY 10595
Phone (914) 493-2961

2 Crosfield Ave
Ste 407
West Nyack, NY 10994
Phone (845) 353-5050

2 Crosfield Ave
West Nyack, NY 10994
Phone (212) 725-8511

2 Centerock Rd
West Nyack, NY 10994
Phone (844) 592-7009

446 N Reading Rd
Ste 302
Ephrata, PA 17522
Phone (717) 721-5868

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

1600 S George St
York, PA 17403
Phone (717) 848-3615

25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: minnerfield327659@direct-sluhn.org
  • Direct secure messaging: minnerfield141333@direct.optum.com

Organizations & group practices 18

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.

View all 18

Hospital & facility affiliations 4

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": "1161993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600732800000",
    "number": "1366528739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 CRYSTAL RUN RD",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109414028",
            "telephone_number": "845-703-6999",
            "fax_number": "845-703-6297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 CENTEROCK RD",
            "city": "WEST NYACK",
            "state": "NY",
            "postal_code": "109942215",
            "telephone_number": "845-703-6999",
            "fax_number": "845-703-6297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INNERFIELD",
        "first_name": "MICHAEL",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-28",
        "last_updated": "2020-09-22",
        "certification_date": "2020-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "151314",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NY",
            "license": "151314",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01073707",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "michael.innerfieldmd.p1@direct.crystalrun.nextgenshare.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2 Centerock Rd",
            "city": "West Nyack",
            "state": "NY",
            "country_code": "US",
            "postal_code": "109942215",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in West Nyack, NY

Sources for this page

Verify at the official NPI Registry.