Individual provider Active NPI

Roger Schenone, DO

  • Internal Medicine Physician
  • Elmira, NY
National Provider Identifier
1578666384
Registry record updated Oct 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
158529 Issued in NY
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, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2018

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 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

IdentifierTypeStateIssuer
01090624MedicaidNY

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
I20101216000173 NY Practitioner - Internal MedicinePractitioner - Geriatric Medicine 1254413826 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bethany Nursing Home and Health Related Facility, Inc. CurrentSince Mar 1, 2012 Accepting new patients
Internal Medicine Associates of the Southern Tier, PC PastSince Jul 1, 1996 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

  • Direct secure messaging: 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.

FacilityTypeRoleSince
St. Joseph's HospitalElmira, NY, CCN 335072 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.

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

Verify at the official NPI Registry.