Carlton James Rule, MD
Individual provider Active NPI Family Medicine Physician · Sidney, NY
NPI 1619978020 · NPPES record last updated Jan 20, 2011
Key facts
- NPI
- 1619978020
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 191344 (NY)
- Practice address
- 39 Pearl St W
Sidney, NY 13838-1330 - Phone
- (607) 561-2021
- NPI assigned
- Aug 9, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Owned or controlled facilities with NPI records 1
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 1
| Facility | Type | Role | Since |
|---|---|---|---|
| At Home Care Incorporated |
Home health agency | Corporate Director | Sep 1, 2024 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070919000077 | NY | Practitioner - Family Practice | 6305930561 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 191344 | NY | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Island Medical Empire State, PLLC | Family Medicine | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 191344 | NY | Yes |
Addresses
Primary practice location
39 Pearl St W
Sidney, NY 13838-1330
Mailing address
PO Box 725
Cooperstown, NY 13326-0725
Phone (607) 561-2021
Other providers in Sidney, NY
- Jennifer Jill Rivers
- Amber Robertson
- Rocky Mountain Holdings, LLC
- Nicole Rose
- Jennifer Ross
- Paul J Scolaro
- Scott D Benjamin DDS PC
- Seco Physical & Occupational Therapy PLLC
- Jordan A Shughrue
- Sidney Central School
All providers in Sidney, NY · Family Medicine Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 20, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.