Individual provider Active NPI

Fred L Talarico, MD

  • Cardiovascular Disease Physician
  • Utica, NY
National Provider Identifier
1467569590
Registry record updated Jan 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
1445061 Issued in NY
Practice address
2115 Genesee Street
Utica, NY 13501-5932
Phone
(315) 733-1148
Fax
(315) 733-0985
NPI assigned
Aug 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 1445061 NY
Cardiovascular Disease Physician 207RC0000X 1445061 NY Primary

Addresses

Primary practice location

2115 Genesee Street
Utica, NY 13501-5932

Mailing address

2115 Genesee Street
Utica, NY 13501-5932
Phone (315) 733-1148

Other identifiers 18

IdentifierTypeStateIssuer
60054OtherAETNA
00966463MedicaidNY
87226OtherAETNA LIFE INS CO
99709OtherADMINISTAR CHAMPUS
60054OtherAETNA PPO
60054OtherAETNA US HEALTHCARE
16105OtherAHP CLAIMS DEPARTMENT
60054OtherAETNA LIFE INS CO AHP
60054OtherAETNA INS CO
60054OtherAETNA US HEALTH CARE
98999OtherAARRP UNITED HEALTH CARE
35175OtherADMINISTAR CHAMPUS
60054OtherAETNA LIFE INS CO
16140OtherAPA PARTNERS
60054OtherAETNA LIFE INS
60054OtherAETNA INC
16140OtherAPA PARTNERS INC
99116OtherAHP CLAIMS DEPARTMENT MSP

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
I20070907000646 NY Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 2466545314 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
85.28 of 100Reported as group
Quality
75.06
Promoting interoperability
100
Improvement activities
40
Cost
69.26

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1445061NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
On Site Imaging Inc. CurrentSince Sep 1, 2008 Accepting new patients
MVHS Inc CurrentSince Dec 30, 2023 Accepting new patients
MVHS Inc CurrentSince Dec 30, 2023 Accepting new patients

Locations

1656 Champlin Ave
New Hartford, NY 13413
Phone (315) 624-6222

2209 Genesee St
Utica, NY 13501
Phone (315) 798-8100

1676 Sunset Ave
Utica, NY 13502
Phone (315) 624-5567

111 Hospital Dr
Utica, NY 13502
Phone (315) 801-8534

120 Hobart St
Utica, NY 13501
Phone (315) 798-1149

Interoperability endpoints

  • Direct secure messaging: ftalarico9718@mvhealthsystem.direct-ci.com

Organizations & group practices 3

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": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199923200000",
    "number": "1467569590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2115 GENESEE STREET",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135015932",
            "telephone_number": "315-733-1148",
            "fax_number": "315-733-0985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 GENESEE STREET",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135015932",
            "telephone_number": "315-733-1148",
            "fax_number": "315-733-0985"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TALARICO",
        "first_name": "FRED",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-24",
        "last_updated": "2008-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "1445061",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "1445061",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
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            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00966463",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA LIFE INS CO",
            "identifier": "87226",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADMINISTAR CHAMPUS",
            "identifier": "99709",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO",
            "identifier": "60054",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA US HEALTHCARE",
            "identifier": "60054",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHP CLAIMS DEPARTMENT",
            "identifier": "16105",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA LIFE INS CO AHP",
            "identifier": "60054",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA INS CO",
            "identifier": "60054",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA US HEALTH CARE",
            "identifier": "60054",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AARRP UNITED HEALTH CARE",
            "identifier": "98999",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADMINISTAR CHAMPUS",
            "identifier": "35175",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA LIFE INS CO",
            "identifier": "60054",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APA PARTNERS",
            "identifier": "16140",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA LIFE INS",
            "identifier": "60054",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA INC",
            "identifier": "60054",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "APA PARTNERS INC",
            "identifier": "16140",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHP CLAIMS DEPARTMENT MSP",
            "identifier": "99116",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Utica, NY

Sources for this page

Verify at the official NPI Registry.