Individual provider Active NPI

Anthony V Maddalo, M.D.

  • Orthopaedic Surgery Physician
  • Hawthorne, NY
National Provider Identifier
1609800150
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
152084 Issued in NY
Practice address
24 Saw Mill River Rd
Ste 206
Hawthorne, NY 10532-1541
Phone
(914) 631-7777
Fax
(914) 631-0920
NPI assigned
Jul 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 152084 NY Primary

Addresses

Primary practice location

24 Saw Mill River Rd
Ste 206
Hawthorne, NY 10532-1541

Mailing address

24 Saw Mill River Rd
Ste 206
Hawthorne, NY 10532-1541
Phone (914) 631-7777

Other identifiers 1

IdentifierTypeStateIssuer
964470MedicaidNY

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
I20051024000747 NY Practitioner - Orthopedic SurgeryPractitioner - Sports Medicine 4385660869 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic SurgeryAlso: Sports Medicine
Education
New York Medical College, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
White Plains Physician Services PCGroup PAC ID 3476894445, 386 clinicians

Practice addresses (Care Compare)

24 Saw Mill River Rd
Suite 206
Hawthorne, NY 10532-1555
Phone (914) 631-7777

Hospital & facility affiliations

  • White Plains Hospital Center Hospital, White Plains, NY, CCN 330304
  • Phelps Hospital Hospital, Sleepy Hollow, NY, CCN 330261

Merit-based Incentive Payment System (MIPS)

Final score
99.15 of 100Reported as group
Promoting interoperability
99
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)55

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
152084NYMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
White Plains Physician Services PC CurrentSince Mar 28, 2023 Accepting new patients

Locations

24 Saw Mill River Rd
Ste 206
Hawthorne, NY 10532
Phone (914) 631-0920

185 Kisco Ave
Ste 300
Mount Kisco, NY 10549
Phone (914) 242-2020

819 Yonkers Ave
Ste 2
Yonkers, NY 10704
Phone (914) 631-7777

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359

Organizations & group practices 1

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609800150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 SAW MILL RIVER RD",
            "address_2": "STE 206",
            "city": "HAWTHORNE",
            "state": "NY",
            "postal_code": "105321541",
            "telephone_number": "914-631-7777",
            "fax_number": "914-631-0920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 SAW MILL RIVER RD",
            "address_2": "STE 206",
            "city": "HAWTHORNE",
            "state": "NY",
            "postal_code": "105321541",
            "telephone_number": "914-631-7777",
            "fax_number": "914-631-0920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MADDALO",
        "first_name": "ANTHONY",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NY",
            "license": "152084",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "964470",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hawthorne, NY

Sources for this page

Verify at the official NPI Registry.