Individual provider Active NPI

Michele A Vaca, MD

  • Family Medicine Physician
  • Yonkers, NY
National Provider Identifier
1467522656
Registry record updated Feb 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
237612 Issued in NY
Practice address
81 S Broadway
Yonkers, NY 10701-4004
Phone
(914) 375-3200
NPI assigned
Nov 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 237612 NY Primary

Addresses

Primary practice location

81 S Broadway
Yonkers, NY 10701-4004

Mailing address

127 S Broadway
Yonkers, NY 10701-4006
Phone (914) 378-7586

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
I20080114000387 NY Practitioner - Family Practice 9133200314 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Temple University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
City Medical of Upper East Side PLLCGroup PAC ID 0648465039, 658 clinicians

Practice addresses (Care Compare)

2393 Central Park Ave
Yonkers, NY 10710-1215
Phone (914) 219-0393

Merit-based Incentive Payment System (MIPS)

Final score
86.33 of 100Reported as group
Quality
82.1
Promoting interoperability
100
Improvement activities
40
Cost
72.34

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
237612NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Josephs Hospital Yonkers CurrentSince Jun 4, 2012 Accepting new patients
City Medical of Upper East Side, PLLC Current Accepting new patients
City Medical of Upper East Side, PLLC CurrentSince Oct 22, 2016 Accepting new patients
St. Joseph'S Hospital Yonkers Current Accepting new patients
St. Joseph'S Hospital & Medical Center CurrentSince Jun 4, 2012 Accepting new patients
City Medical of Upper East Side, PLLC CurrentSince Oct 22, 2016 Accepting new patients

Locations

3111 Steinway St
Astoria, NY 11103
Phone (718) 475-2345

193 W 237th St
Bronx, NY 10463
Phone (718) 303-0479

336 E 86th St
New York, NY 10028
Phone (212) 772-3627

127 S Broadway
Yonkers, NY 10701
Phone (914) 378-7342

81 S Broadway
Yonkers, NY 10701
Phone (914) 375-3200

2393 Central Park Ave
Yonkers, NY 10710
Phone (914) 219-0393

Interoperability endpoints

  • Direct secure messaging: michele.vaca.1@2983.direct.athenahealth.com

Organizations & group practices 6

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": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424822400000",
    "number": "1467522656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 S BROADWAY",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107014006",
            "telephone_number": "914-378-7586",
            "fax_number": "914-378-7991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 S BROADWAY",
            "city": "YONKERS",
            "state": "NY",
            "postal_code": "107014004",
            "telephone_number": "914-375-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VACA",
        "first_name": "MICHELE",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-08",
        "last_updated": "2015-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "237612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yonkers, NY

Sources for this page

Verify at the official NPI Registry.