Active NPI
Daniel Vanderbilt, MD,PHD
- Radiation Oncology Physician
- New Hartford, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- MD61334616
- Practice address
- 2 Ellinwood Dr
New Hartford, NY 13413-1102 - Phone
- (315) 316-0670
- Fax
- (315) 316-0681
- NPI assigned
- Apr 5, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | MD61334616 | WA | Primary |
Addresses
Primary practice location
2 Ellinwood Dr
New Hartford, NY 13413-1102
Mailing address
1 Medical Center Dr
P.O. Box 9001-a
Morgantown, WV 26506-1200
Phone (304) 293-2463
Other practice location 1
1226 E Water St
Syracuse, NY 13210-1155
Phone (315) 478-3468
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Radiation Oncology
- Education
- West Virginia University School of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2 Ellinwood Dr
New Hartford, NY 13413-1110
Phone (315) 724-1012
Hospital & facility affiliations
- Tacoma General Allenmore Hospital
- Wynn Hospital
- Oneida Health Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Associated Medical Professionals of Ny, PLLC | Current | Accepting new patients | |
| Associated Medical Professionals of Ny, PLLC | Radiation Oncology | Current | Accepting new patients |
Locations
100 Metropolitan Park Dr
Ste 100
Liverpool, NY 13088
Phone (315) 870-9370
2 Ellinwood Dr
New Hartford, NY 13413
Phone (315) 507-5081
1226 E Water St
Syracuse, NY 13210
Phone (315) 423-7226
Interoperability endpoints
- dvanderbilt@ampofny.medentdirect.com
Organizations & group practices 2
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.
-
- Urology Physician
- Syracuse, NY
- NPI 1467659060
Radiation Oncology
-
- Urology Physician
- Fulton, NY
- NPI 1386062990
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Utica, NY
- NPI 1205877172
-
- General Acute Care Hospital
- Oneida, NY
- NPI 1962408203
-
- General Acute Care Hospital
- Tacoma, WA
- NPI 1366556227
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491350400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705449600000",
"number": "1578096756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 MEDICAL CENTER DR",
"address_2": "P.O. BOX 9001-A",
"city": "MORGANTOWN",
"state": "WV",
"postal_code": "265061200",
"telephone_number": "304-293-2463",
"fax_number": "304-293-5160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 ELLINWOOD DR",
"city": "NEW HARTFORD",
"state": "NY",
"postal_code": "134131102",
"telephone_number": "315-316-0670",
"fax_number": "315-316-0681"
}
],
"practiceLocations": [
{
"address_1": "1226 E Water St",
"address_purpose": "LOCATION",
"city": "Syracuse",
"state": "NY",
"postal_code": "132101155",
"country_code": "US",
"telephone_number": "315-478-3468",
"fax_number": "315-214-2840",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VANDERBILT",
"first_name": "DANIEL",
"credential": "MD,PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-04-05",
"last_updated": "2024-01-17",
"certification_date": "2024-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "WA",
"license": "MD61334616",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Hartford, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.