Individual provider Active NPI

Christopher Michael Maendel, MD

  • Family Medicine Physician
  • Ulster Park, NY
National Provider Identifier
1447228002
Registry record updated Feb 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
202940-1 Issued in NY
Practice address
1001 Broadway
Suite 223
Ulster Park, NY 12487-5209
Phone
(845) 339-6680
NPI assigned
Mar 9, 2006
Last updated
Feb 24, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD061934L PA
Family Medicine Physician 207Q00000X 202940-1 NY Primary

Addresses

Primary practice location

1001 Broadway
Suite 223
Ulster Park, NY 12487-5209

Mailing address

120 Maple Ridge Drive
Ulster Park, NY 12487
Phone (845) 339-6680

Other identifiers 3

IdentifierTypeStateIssuer
0018500920003MedicaidPA
120204OtherPAUNISON PCP
122177OtherPAUNISON OB

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140306001104 NY Practitioner - Family Practice 9739154527 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Albany Medical College of Union University, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Esopus Medical, PCGroup PAC ID 1254304074, 13 clinicians

Practice addresses (Care Compare)

10 Hellbrook LN
Ulster Park, NY 12487-5209
Phone (845) 658-7763

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
202940-1NYMDFamily Medicine Physician
MD061934LPAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Esopus Medical, PC Family Medicine CurrentSince Nov 29, 2013 Accepting new patients
Oak Valley Medical & Dental, PC Family Medicine PastSince Feb 19, 2018 Accepting new patients

Locations

10 Hellbrook Ln
Ulster Park, NY 12487
Phone (845) 339-6680

Interoperability endpoints

  • Direct secure messaging: christopher.maendel@931273876307972.direct.elationemr.com

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, 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": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677196800000",
    "number": "1447228002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 MAPLE RIDGE DRIVE",
            "city": "ULSTER PARK",
            "state": "NY",
            "postal_code": "12487",
            "telephone_number": "845-339-6680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 BROADWAY",
            "address_2": "SUITE 223",
            "city": "ULSTER PARK",
            "state": "NY",
            "postal_code": "124875209",
            "telephone_number": "845-339-6680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAENDEL",
        "first_name": "CHRISTOPHER",
        "middle_name": "MICHAEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-09",
        "last_updated": "2023-02-24",
        "certification_date": "2023-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD061934L",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "202940-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018500920003",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON PCP",
            "identifier": "120204",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON OB",
            "identifier": "122177",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ulster Park, NY

Sources for this page

Verify at the official NPI Registry.