Active NPI
Roger Schenone, DO
- Internal Medicine Physician
- Elmira, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 158529
- Practice address
- 200 Madison Ave
Elmira, NY 14901-3218 - Phone
- (607) 734-1581
- Fax
- (607) 767-4137
- NPI assigned
- Sep 7, 2006
- Last updated
- Oct 30, 2018
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 158529 | NY | Primary |
Addresses
Primary practice location
200 Madison Ave
Elmira, NY 14901-3218
Mailing address
600 Roe Ave
Elmira, NY 14905-1629
Phone (607) 737-7732
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01090624 | Medicaid | NY |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bethany Nursing Home and Health Related Facility, Inc. | Current | Accepting new patients | |
| Internal Medicine Associates of the Southern Tier, PC | Past | Accepting new patients | |
| Advantagehealth Medical Services, PC | Past | Accepting new patients | |
| TTPM, Inc | Past | Accepting new patients |
Locations
3005 Watkins Rd
Horseheads, NY 14845
Phone (607) 378-6673
Interoperability endpoints
- roger.schenone@arn.eclinicaldirectplus.com
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| St. Joseph's Hospital | Skilled nursing facility | Corporate Director (5%) | Sep 1, 2011 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
Organizations & group practices 4
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.
-
- Skilled Nursing Facility
- Horseheads, NY
- NPI 1538193537
-
- Nephrology Physician
- Elmira, NY
- NPI 1558342477
-
- Clinical Medical Laboratory
- Elmira, NY
- NPI 1457436065
-
- Health Information Technician
- Elmira, NY
- NPI 1619010014
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540857600000",
"number": "1578666384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 ROE AVE",
"city": "ELMIRA",
"state": "NY",
"postal_code": "149051629",
"telephone_number": "607-737-7732"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 MADISON AVE",
"city": "ELMIRA",
"state": "NY",
"postal_code": "149013218",
"telephone_number": "607-734-1581",
"fax_number": "607-767-4137"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHENONE",
"first_name": "ROGER",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-07",
"last_updated": "2018-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "158529",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01090624",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Elmira, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.