Individual provider Active NPI

Daisy Jaganathan, MD

  • Internal Medicine Physician
  • Star Lake, NY
National Provider Identifier
1508398264
Registry record updated Sep 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
307253 Issued in NY
Practice address
1014 Oswegatchie Trail Rd
Star Lake, NY 13690-3143
Phone
(315) 848-3351
Fax
(410) 554-2184
NPI assigned
Mar 31, 2017
Last updated
Sep 29, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 307253 NY Primary

Addresses

Primary practice location

1014 Oswegatchie Trail Rd
Star Lake, NY 13690-3143

Mailing address

1721 Billman LN
Silver Spring, MD 20902-1419

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
I20201109000152 NY Practitioner - Internal Medicine 5193135846 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mill Basin Medical Health PCGroup PAC ID 9133566128, 104 clinicians

Practice addresses (Care Compare)

428 Route 146
Altamont, NY 12009-4409
Phone (646) 296-1508

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mill Basin Medical Health PC Internal Medicine CurrentSince Jun 2, 2025 Accepting new patients
Delphi Hospitalist Services LLC CurrentSince Feb 1, 2022 Accepting new patients
Lewis County General Hospital Past Accepting new patients
Rtrnc LLC Past Accepting new patients
Ornc LLC Past Accepting new patients

Locations

428 State Route 146
Altamont, NY 12009
Phone (518) 861-5141

257 State St
Batavia, NY 14020
Phone (585) 343-1300

1583 E 66th St
#1
Brooklyn, NY 11234
Phone (917) 318-4724

77 W Barney St
Gouverneur, NY 13642
Phone (315) 287-1000

48 Frost Ln
Unit A
Lawrence, NY 11559
Phone (516) 587-9960

7785 N State St
Lowville, NY 13367
Phone (315) 376-5102

515 Main St
Olean, NY 14760
Phone (716) 373-2600

191 N Main St
Wellsville, NY 14895
Phone (585) 593-1100

14310 20th Ave
Whitestone, NY 11357
Phone (718) 961-1212

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Chestnut Park Rehabilitation and Nursing CenterOneonta, NY, CCN 335243 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Jun 1, 2025
Jun 1, 2025
The Grand Rehabilitation and Nursing at GuilderlandAltamont, NY, CCN 335540 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Aug 1, 2025
Aug 1, 2025
Robinson Terrace Rehabilitation and Nursing CenterStamford, NY, CCN 335236 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Jun 2, 2025
Jun 2, 2025

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 5

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.

Hospital & facility affiliations 6

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": "1490918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601337600000",
    "number": "1508398264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1721 BILLMAN LN",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209021419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1014 OSWEGATCHIE TRAIL RD",
            "city": "STAR LAKE",
            "state": "NY",
            "postal_code": "136903143",
            "telephone_number": "315-848-3351",
            "fax_number": "410-554-2184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAGANATHAN",
        "first_name": "DAISY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-03-31",
        "last_updated": "2020-09-29",
        "certification_date": "2020-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "307253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Star Lake, NY

Sources for this page

Verify at the official NPI Registry.