Individual provider Active NPI

Dilip D Kachare, M.D.

  • Adolescent Medicine (Internal Medicine) Physician
  • Utica, NY
National Provider Identifier
1477549939
Registry record updated Mar 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0000X
License
192351-1 Issued in NY
Practice address
2037 Genesee St
Utica, NY 13501-5951
Phone
(315) 734-1086
NPI assigned
Sep 21, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent Medicine (Internal Medicine) Physician 207RA0000X 192351-1 NY Primary

Addresses

Primary practice location

2037 Genesee St
Utica, NY 13501-5951

Mailing address

2037 Genesee St
Utica, NY 13501-5951
Phone (315) 734-1086

Other identifiers 1

IdentifierTypeStateIssuer
01434904MedicaidNY

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
I20100812000043 NY Practitioner - Internal Medicine 3274667332 Reassigns benefits to 2 organizations
Practice locations: Utica, NY

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2039 Genesee St
Utica, NY 13501-5929
Phone (315) 734-1086

Hospital & facility affiliations

  • Wynn Hospital Hospital, Utica, NY, CCN 330044
  • Rome Memorial Hospital, Inc Hospital, Rome, NY, CCN 330215

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
192351-1NYMDAdolescent Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Crouse Health Hospital Inc CurrentSince May 1, 2022 Accepting new patients
Crouse Health Hospital, Inc. CurrentSince May 1, 2022 Accepting new patients
Clifton Springs Sanitarium Co CurrentSince Nov 1, 2015 Accepting new patients
MVHS Inc Past Accepting new patients
MVHS Inc Past Accepting new patients
Clifton Springs Sanitarium Company Past Accepting new patients

Locations

2 Coulter Rd
Clifton Springs, NY 14432
Phone (315) 462-1472

1001 W Fayette St
Ste 400
Syracuse, NY 13204
Phone (315) 472-1488

736 Irving Ave
Syracuse, NY 13210
Phone (315) 470-7111

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.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1127260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204588800000",
    "number": "1477549939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2037 GENESEE ST",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135015951",
            "telephone_number": "315-734-1086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2037 GENESEE ST",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135015951",
            "telephone_number": "315-734-1086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KACHARE",
        "first_name": "DILIP",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-21",
        "last_updated": "2008-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RA0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Adolescent Medicine",
            "state": "NY",
            "license": "192351-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01434904",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Utica, NY

Sources for this page

Verify at the official NPI Registry.