Active NPI
Sovan Powell
- Family Medicine Physician
- Newburgh, NY
National Provider Identifier
1366755324
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 271040
- Practice address
- 147 Lake St
Newburgh, NY 12550-5263 - Phone
- (845) 563-8000
- NPI assigned
- Jul 20, 2010
- Sex
- Female
- Sole proprietor
- No
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 | 271040 | NY | Primary |
Addresses
Primary practice location
147 Lake St
Newburgh, NY 12550-5263
Mailing address
2570 Route 9W Ste 10
Cornwall, NY 12518-1370
Phone (845) 220-3100
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03643161 | Medicaid | NY |
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, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
514 Route 299
Highland, NY 12528-2835
Phone (845) 790-1120
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.38 of 100
- Quality
- 63.01
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 72.3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nuvance Health Medical Practice PC | Current | Accepting new patients | |
| Health Quest Medical Practice, PC | Current | Accepting new patients |
Locations
514 State Route 299
Highland, NY 12528
Phone (845) 214-1922
45 Reade Pl
Fl 2
Poughkeepsie, NY 12601
Phone (845) 483-6001
Organizations & group practices 2
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.
-
- Internal Medicine Physician
- Poughkeepsie, NY
- NPI 1437358033
-
- Diagnostic Radiology Physician
- Kingston, NY
- NPI 1558906610
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559779200000",
"number": "1366755324",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2570 ROUTE 9W STE 10",
"city": "CORNWALL",
"state": "NY",
"postal_code": "125181370",
"telephone_number": "845-220-3100",
"fax_number": "845-534-2940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "147 LAKE ST",
"city": "NEWBURGH",
"state": "NY",
"postal_code": "125505263",
"telephone_number": "845-563-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POWELL",
"first_name": "SOVAN",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-07-20",
"last_updated": "2019-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "271040",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03643161",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Newburgh, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 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.