NPIMap

Individual provider Active NPI

Michael Cilip Jr., MD

  • Internal Medicine Physician
  • Corning, NY
National Provider Identifier
1669447108
Registry record updated Jan 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
154518-1 Issued in NY
Practice address
23 W Market St Ste 101
Corning, NY 14830-2600
Phone
(607) 846-3960
Fax
(607) 973-2309
NPI assigned
Feb 20, 2006
Last updated
Jan 6, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 6, 2022

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 154518-1 NY Primary

Addresses

Primary practice location

23 W Market St Ste 101
Corning, NY 14830-2600

Mailing address

10783 Hidden Meadow TRL
Corning, NY 14830-9495
Phone (607) 368-7095

Other identifiers 2

IdentifierTypeStateIssuer
00897810MedicaidNY
161302632MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040724000187 NY Practitioner - Internal Medicine 1052391463 Receives reassigned benefits from 1 practitioner
Practice locations: Corning, NY

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
State University of Ny Upstate Medical University, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

23 W Market St
Suite 101
Corning, NY 14830-2600
Phone (607) 846-3960

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.39 of 100Reported as apm
Quality
73.44
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions18
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
154518-1NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chemung Medical Services PC Internal Medicine Past Accepting new patients
Fort Edward Rescue Squad Inc Past Accepting new patients
Arnot Medical Services PLLC Internal Medicine Past Accepting new patients
Michael Cilip Jr PastSince Jan 1, 1990 Accepting new patients
Arnot Ogden Medical Center Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: drcilip@agelessmedical.medentdirect.com

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Organizations & group practices 5

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 11

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": "1140393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641427200000",
    "number": "1669447108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10783 HIDDEN MEADOW TRL",
            "city": "CORNING",
            "state": "NY",
            "postal_code": "148309495",
            "telephone_number": "607-368-7095",
            "fax_number": "607-973-2309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 W MARKET ST STE 101",
            "city": "CORNING",
            "state": "NY",
            "postal_code": "148302600",
            "telephone_number": "607-846-3960",
            "fax_number": "607-973-2309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CILIP",
        "first_name": "MICHAEL",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-20",
        "last_updated": "2022-01-06",
        "certification_date": "2022-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "154518-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00897810",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "161302632",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corning, NY

Sources for this page

Verify at the official NPI Registry.