Individual provider Active NPI

Macy Vanarnam, M.D.

  • Obstetrics & Gynecology Physician
  • Watertown, NY
National Provider Identifier
1669908794
Registry record updated Apr 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
310949 Issued in NY
Practice address
1575 Washington St
Watertown, NY 13601-9371
Phone
(315) 785-4155
Fax
(315) 779-5066
NPI assigned
May 10, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 310949 NY Primary

Addresses

Primary practice location

1575 Washington St
Watertown, NY 13601-9371

Mailing address

1575 Washington St
Watertown, NY 13601-9371
Phone (315) 785-4155

Other practice location 1

830 Washington St
Watertown, NY 13601-4034
Phone (315) 785-4155

Other identifiers 1

IdentifierTypeStateIssuer
06835203MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, PA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210823001539 NY Practitioner - Obstetrics/Gynecology 2961772728 Reassigns benefits to 1 organization
I20250922002422 PA Practitioner - Obstetrics/Gynecology 2961772728 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lancaster General HospitalGroup PAC ID 1254240039, 520 clinicians

Practice addresses (Care Compare)

694 Good Dr
Suite 11
Lancaster, PA 17601-2433
Phone (717) 544-0040

Hospital & facility affiliations

  • Lancaster General Hospital Hospital, Lancaster, PA, CCN 390100

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lancaster General Hospital CurrentSince Sep 22, 2025 Accepting new patients
Lanaster General Hospital CurrentSince Sep 22, 2025 Accepting new patients
Lancaster General Hospital Current Accepting new patients
Samaritan Medical Center CurrentSince Jan 10, 2023 Accepting new patients
Lancaster General Hospital Past Accepting new patients
Lancaster General Medical Group Past Accepting new patients
Lancaster General Hospital Past Accepting new patients

Locations

1575 Washington St
Watertown, NY 13601
Phone (315) 779-5060

830 Washington St
Watertown, NY 13601
Phone (315) 785-4000

694 Good Dr
Ste 11
Lancaster, PA 17601
Phone (717) 544-0040

950 S Octorara Trl
Ste 150
Parkesburg, PA 19365

950 S Octorara Trl
Parkesburg, PA 19365
Phone (610) 857-6616

317 Chestnut St
Quarryville, PA 17566
Phone (717) 544-3555

Interoperability endpoints

  • Direct secure messaging: mvanarnam272836@direct-lghealth.org

Organizations & group practices 8

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 3

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": "1494374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714348800000",
    "number": "1669908794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1575 WASHINGTON ST",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136019371",
            "telephone_number": "315-785-4155",
            "fax_number": "315-779-5066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1575 WASHINGTON ST",
            "city": "WATERTOWN",
            "state": "NY",
            "postal_code": "136019371",
            "telephone_number": "315-785-4155",
            "fax_number": "315-779-5066"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "830 Washington St",
            "address_purpose": "LOCATION",
            "city": "Watertown",
            "state": "NY",
            "postal_code": "136014034",
            "country_code": "US",
            "telephone_number": "315-785-4155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VANARNAM",
        "first_name": "MACY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-10",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "310949",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06835203",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Watertown, NY

Sources for this page

Verify at the official NPI Registry.