Marshall M Trabout, MD
Individual provider Active NPI Internal Medicine Physician · Aurora, NY
NPI 1558340331 · NPPES record last updated May 12, 2008
Key facts
- NPI
- 1558340331
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 147937 (NY)
- Practice address
- 18 Wells Rd
Aurora, NY 13026 - Phone
- (315) 364-3388
- Fax
- (315) 364-5254
- NPI assigned
- Jan 11, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- State University of New York at Stony Brook, School of Medicine, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Cayuga Counseling Services Inc
Practice addresses (Care Compare)
17 E Genesee St
FL 2
Auburn, NY 13021-4040
Phone (315) 253-9795
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100622000618 | NY | Practitioner - Internal Medicine | 2860490638 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cayuga Counseling Services Inc | Current |
Accepting new patients | |
| Cayuga Counseling Services | Current | Accepting new patients | |
| Familycare Medical Group PC | Past | Accepting new patients |
Locations
17 E Genesee St
Auburn, NY 13021
Phone (315) 253-9795
17 E Genesee St
Fl 2
Auburn, NY 13021
Phone (315) 253-9795
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 147937 | NY | Yes |
Addresses
Primary practice location
18 Wells Rd
Aurora, NY 13026
Mailing address
1001 W Fayette St
Ste 400
Syracuse, NY 13204-2859
Phone (315) 472-1488
Other providers in Aurora, NY
- Anne Bridget Marshall
- Deborah Ann Pickering
- Colleen C Saxton
- Southern Cayuga Central School District
- Kimberly M Stevens
- Jennifer Vanetten
- Cindy Yale
All providers in Aurora, NY · Internal Medicine Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 12, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.