Active NPI
Mike Joon Choi, MD
- Family Medicine Physician
- Vestal, NY
National Provider Identifier
1588764484
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 228972
- Practice address
- 2517 Vestal Pkwy E
Vestal, NY 13850-2020 - Phone
- (607) 798-1452
- Fax
- (607) 798-1792
- NPI assigned
- Sep 22, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 228972 | NY | Primary |
Addresses
Primary practice location
2517 Vestal Pkwy E
Vestal, NY 13850-2020
Mailing address
1 Guthrie SQ
Sayre, PA 18840-1625
Phone (570) 888-5858
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02420822 | Medicaid | NY |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mchoi60052@direct-guthrie.org | Direct |
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
- Family Practice
- Education
- Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2517 Vestal Pkwy E
Vestal, NY 13850-2020
Phone (607) 798-1452
Hospital & facility affiliations
- Twin Tier Home Health, Inc
- Our Lady of Lourdes Memorial Hospital, Inc
- United Health Services Hospitals, Inc
- Guthrie Cortland Regional Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 228972 | NY | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Guthrie Medical Group, P.C. | Family Medicine | Current | Accepting new patients |
| Guthrie Medical Group, P.C. | Current | Accepting new patients | |
| Guthrie Medical Group PC | Past | Accepting new patients |
Locations
169 Riverside Dr
Binghamton, NY 13905
Phone (607) 798-5111
169 Riverside Dr
Ste 206
Binghamton, NY 13905
Phone (607) 798-6701
130 Center Way
Corning, NY 14830
Phone (607) 936-9971
2517 Vestal Pkwy E
Vestal, NY 13850
Phone (607) 798-1452
1 Guthrie Sq
Sayre, PA 18840
Phone (570) 887-3106
Organizations & group practices 3
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.
-
- Multi-Specialty Clinic/Center
- Corning, NY
- NPI 1134178635
-
- Clinical Medical Laboratory
- Sayre, PA
- NPI 1649225855
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cortland, NY
- NPI 1740287531
-
- General Acute Care Hospital
- Binghamton, NY
- NPI 1629087580
-
- Home Health Agency
- Johnson City, NY
- NPI 1760489405
-
- General Acute Care Hospital
- Binghamton, NY
- NPI 1518998699
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616716800000",
"number": "1588764484",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 GUTHRIE SQ",
"city": "SAYRE",
"state": "PA",
"postal_code": "188401625",
"telephone_number": "570-888-5858"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2517 VESTAL PKWY E",
"city": "VESTAL",
"state": "NY",
"postal_code": "138502020",
"telephone_number": "607-798-1452",
"fax_number": "607-798-1792"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHOI",
"first_name": "MIKE",
"middle_name": "JOON",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-22",
"last_updated": "2021-03-26",
"certification_date": "2021-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "228972",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02420822",
"state": "NY"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mchoi60052@direct-guthrie.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "2517 Vestal Pkwy E",
"city": "Vestal",
"state": "NY",
"country_code": "US",
"postal_code": "138502020",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Vestal, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2021; 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.