NPIMap

Individual provider Active NPI

Matthew Talbott, M.D.

  • Emergency Medicine Physician
  • Geneva, NY
National Provider Identifier
1407964620
Registry record updated May 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
248225-1 Issued in NY
Practice address
196 North St
Geneva, NY 14456-1651
Phone
(315) 787-4000
NPI assigned
Aug 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 248225-1 NY Primary

Addresses

Primary practice location

196 North St
Geneva, NY 14456-1651

Mailing address

364 Wildbriar Rd
Rochester, NY 14623-4250
Phone (614) 595-0949

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080613000292 NY Practitioner - Emergency Medicine 1759452063 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
248225-1NYMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Geneva General Hospital Current Accepting new patients
Geneva General Hospital, Inc Emergency Medicine CurrentSince Jul 1, 2008 Accepting new patients
Soldiers & Sailors Memorial Hospital Current Accepting new patients
Geneva General Hospital, Inc CurrentSince Jul 1, 2008 Accepting new patients
Soldiers & Sailors Memorial Hospital Emergency Medicine CurrentSince Jul 1, 2008 Accepting new patients
Soldiers & Sailors Memorial Hospital CurrentSince Jul 1, 2008 Accepting new patients
FLH Medical ,PC Past Accepting new patients
FLH Medical, PC Past Accepting new patients

Locations

196 North St
Geneva, NY 14456
Phone (315) 787-4156

418 N Main St
Penn Yan, NY 14527
Phone (315) 531-2000

Ownership & related parties

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Huntington Living CenterWaterloo, NY, CCN 335879 Skilled nursing facility Corporate Director Apr 1, 2019
Soldiers & Sailors Memorial HospitalPenn Yan, NY, CCN 333415 Rural health clinic Corporate Director Apr 1, 2019
Soldiers & Sailors Memorial HospitalSeneca Falls, NY, CCN 333416 Rural health clinic Corporate Director Apr 1, 2019
Soldiers & Sailors Memorial HospitalWaterloo, NY, CCN 338504 Rural health clinic Corporate Director Apr 1, 2019

Owned or controlled facilities with NPI records 5

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211155200000",
    "number": "1407964620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "364 WILDBRIAR RD",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146234250",
            "telephone_number": "614-595-0949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "196 NORTH ST",
            "city": "GENEVA",
            "state": "NY",
            "postal_code": "144561651",
            "telephone_number": "315-787-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALBOTT",
        "first_name": "MATTHEW",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-28",
        "last_updated": "2008-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "248225-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Geneva, NY

Sources for this page

Verify at the official NPI Registry.