Active NPI
Martha Bouchard, M.D.
- Internal Medicine Physician
- Brewster, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 160414
- Practice address
- 111 Clocktower Commons
Brewster, NY 10509 - Phone
- (845) 279-5187
- Fax
- (845) 279-5168
- NPI assigned
- Dec 28, 2005
- Last updated
- Jan 28, 2026
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 160414 | NY | Primary |
Addresses
Primary practice location
111 Clocktower Commons
Brewster, NY 10509
Mailing address
111 Clock Tower CMNS
Brewster, NY 10509-4055
Phone (845) 279-5187
Other practice location 1
667 Stoneleigh Ave Ste 117
Carmel, NY 10512-2455
Phone (845) 592-4915
Other practice location 2
198 Route 22 Ste 7
Pawling, NY 12564-3242
Phone (845) 855-3610
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00924727 | 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
- Internal Medicine
- Education
- Other, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
111 Clock Towe CMNS
Brewster, NY 10509-4055
Phone (845) 279-5187
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northern Medical Group, PLLC | Internal Medicine | Current | Accepting new patients |
Locations
111 Clock Tower Cmns
Brewster, NY 10509
Phone (845) 592-4915
111 Clock Tower Cmns
#22
Brewster, NY 10509
667 Stoneleigh Ave
Ste 117
Carmel, NY 10512
Phone (845) 230-5178
198 Route 22
Ste 7
Pawling, NY 12564
Phone (845) 255-3010
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/CJAHCA
- martha.bouchard@nmgmd.eclinicaldirectplus.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.
-
- Internal Medicine Physician
- Brewster, NY
- NPI 1174994826
-
- Cardiovascular Disease Physician
- Brewster, NY
- NPI 1376337683
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Carmel, NY
- NPI 1972557379
-
- Home Health Agency
- White Plains, NY
- NPI 1053311092
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769558400000",
"number": "1467439893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 CLOCK TOWER CMNS",
"city": "BREWSTER",
"state": "NY",
"postal_code": "105094055",
"telephone_number": "845-279-5187",
"fax_number": "855-703-7570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 CLOCKTOWER COMMONS",
"city": "BREWSTER",
"state": "NY",
"postal_code": "10509",
"telephone_number": "845-279-5187",
"fax_number": "845-279-5168"
}
],
"practiceLocations": [
{
"address_1": "667 Stoneleigh Ave Ste 117",
"address_purpose": "LOCATION",
"city": "Carmel",
"state": "NY",
"postal_code": "105122455",
"country_code": "US",
"telephone_number": "845-592-4915",
"fax_number": "855-703-7570",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "198 Route 22 Ste 7",
"address_purpose": "LOCATION",
"city": "Pawling",
"state": "NY",
"postal_code": "125643242",
"country_code": "US",
"telephone_number": "845-855-3610",
"fax_number": "855-703-7570",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BOUCHARD",
"first_name": "MARTHA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-28",
"last_updated": "2026-01-28",
"certification_date": "2026-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "160414",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00924727",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Brewster, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2026; 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.