Active NPI
Scott D Stern, MD
- Family Medicine Physician
- Lowville, NY
National Provider Identifier
1376504753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 218319
- Practice address
- 7785 N State St FL 3
Lowville, NY 13367 - Phone
- (315) 376-5287
- Fax
- (315) 376-3228
- NPI assigned
- Mar 28, 2006
- Last updated
- Sep 13, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 218319 | NY | Primary |
| Addiction Medicine (Family Medicine) Physician | 207QA0401X | 218319 | NY |
Addresses
Primary practice location
7785 N State St FL 3
Lowville, NY 13367
Mailing address
7785 N State St FL 3
Lowville, NY 13367-1297
Phone (315) 376-5287
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02092648 | 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
- State University of Ny Upstate Medical University, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
238 Arsenal St
Watertown, NY 13601-2504
Phone (315) 782-9450
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Interoperability endpoints
- scott.stern.1@21901.direct.athenahealth.com
- sstern@hiemail.healtheconnections.org
Organizations & group practices 1
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.
-
- Federally Qualified Health Center (FQHC)
- Watertown, NY
- NPI 1609946821
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Community Based Hospice Care Agency
- Watertown, NY
- NPI 1164426433
-
- Home Health Agency
- Watertown, NY
- NPI 1043213283
-
- Home Health Agency
- Watertown, NY
- NPI 1487057576
-
- General Acute Care Hospital
- Watertown, NY
- NPI 1598713745
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1568332800000",
"number": "1376504753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7785 N STATE ST FL 3",
"city": "LOWVILLE",
"state": "NY",
"postal_code": "133671297",
"telephone_number": "315-376-5287",
"fax_number": "315-376-3228"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7785 N STATE ST FL 3",
"city": "LOWVILLE",
"state": "NY",
"postal_code": "13367",
"telephone_number": "315-376-5287",
"fax_number": "315-376-3228"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STERN",
"first_name": "SCOTT",
"middle_name": "D",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-28",
"last_updated": "2019-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "218319",
"primary": true
},
{
"code": "207QA0401X",
"taxonomy_group": "",
"desc": "Family Medicine, Addiction Medicine",
"state": "NY",
"license": "218319",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02092648",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lowville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.