Individual provider Active NPI

Daniel F Karn, PA

  • Physician Assistant
  • Moravia, NY
National Provider Identifier
1619973575
Registry record updated Apr 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
009008-1 Issued in NY
Practice address
23 Central St
Moravia, NY 13118-3427
Phone
(315) 497-9066
Fax
(315) 497-3836
NPI assigned
Jun 24, 2005
Last updated
Apr 28, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 009008-1 NY Primary

Addresses

Primary practice location

23 Central St
Moravia, NY 13118-3427

Mailing address

85 South West Street
Homer, NY 13077
Phone (607) 753-3797

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Homer Health Information Exchange (HIE)

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210107001355 NY Practitioner - Physician Assistant 2264670397 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

85 S W St
Homer, NY 13077-1542
Phone (607) 753-3797

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
009008-1NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Family Health Network of Central New York, Inc. Physician Assistant CurrentSince Sep 24, 2020 Accepting new patients
Family Health Network of Central New York, Inc. CurrentSince Sep 24, 2020 Accepting new patients
Guthrie Cortland Medical Center Past Accepting new patients

Locations

85 S West St
Homer, NY 13077
Phone (607) 753-3797

Interoperability endpoints

  • Direct secure messaging: daniel.karn.1@28343.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1119571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651104000000",
    "number": "1619973575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "85 SOUTH WEST STREET",
            "city": "HOMER",
            "state": "NY",
            "postal_code": "13077",
            "telephone_number": "607-753-3797",
            "fax_number": "607-753-6677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 CENTRAL ST",
            "city": "MORAVIA",
            "state": "NY",
            "postal_code": "131183427",
            "telephone_number": "315-497-9066",
            "fax_number": "315-497-3836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARN",
        "first_name": "DANIEL",
        "middle_name": "F",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-24",
        "last_updated": "2022-04-28",
        "certification_date": "2022-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "009008-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Homer",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "23 Central St",
            "city": "Moravia",
            "state": "NY",
            "country_code": "US",
            "postal_code": "131183427",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Moravia, NY

Sources for this page

Verify at the official NPI Registry.