Individual provider Active NPI

Lawrence Abraham Dolkart, M.D.

  • Maternal & Fetal Medicine Physician
  • Elmira, NY
National Provider Identifier
1447255088
Registry record updated Sep 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
146151 Issued in NY
Practice address
600 Fitch St
Suite 205
Elmira, NY 14905-1634
Phone
(607) 737-1184
Fax
(607) 737-0738
NPI assigned
Jun 20, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal & Fetal Medicine Physician 207VM0101X 146151 NY Primary
Obstetrics Physician 207VX0000X 146151 NY

Addresses

Primary practice location

600 Fitch St
Suite 205
Elmira, NY 14905-1634

Mailing address

600 Fitch St
Suite 205
Elmira, NY 14905-1634
Phone (607) 737-1184

Other identifiers 6

IdentifierTypeStateIssuer
000910038001OtherNYHEALTHNOW PROVIDER#
161327045OtherNYUHC PROVIDER ID #
0004265920OtherNYAETNA PROVIDER NUMBER
0011763950001MedicaidPA
161327045OtherNYBCBS PROV ID NUMBER
00630837MedicaidNY

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
I20060331000545 NY Practitioner - Obstetrics/Gynecology 5395736052 Reassigns benefits to 1 organization
Practice locations: Elmira, NY

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Icahn School of Medicine at Mount Sinai, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

600 Fitch St
Elmira, NY 14905-1634
Phone (607) 737-1184

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Birth N' Beyond CurrentSince Dec 1, 2008 Accepting new patients
Arnot Ogden Medical Center Past Accepting new patients

Locations

600 Fitch St
Ste 206
Elmira, NY 14905
Phone (607) 732-1515

Interoperability endpoints

  • Direct secure messaging: ldolkart26546@direct.xtensys.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

NPI Registry JSON

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

{
    "created_epoch": "1119225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285027200000",
    "number": "1447255088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 FITCH ST",
            "address_2": "SUITE 205",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149051634",
            "telephone_number": "607-737-1184",
            "fax_number": "607-737-0738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 FITCH ST",
            "address_2": "SUITE 205",
            "city": "ELMIRA",
            "state": "NY",
            "postal_code": "149051634",
            "telephone_number": "607-737-1184",
            "fax_number": "607-737-0738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOLKART",
        "first_name": "LAWRENCE",
        "middle_name": "ABRAHAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-20",
        "last_updated": "2010-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "NY",
            "license": "146151",
            "primary": true
        },
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "NY",
            "license": "146151",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNOW PROVIDER#",
            "identifier": "000910038001",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC PROVIDER ID #",
            "identifier": "161327045",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER NUMBER",
            "identifier": "0004265920",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011763950001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROV ID NUMBER",
            "identifier": "161327045",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00630837",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmira, NY

Sources for this page

Verify at the official NPI Registry.