NPIMap

Individual provider Active NPI

Elisabeth W. McKeon, MD

  • Internal Medicine Physician
  • Catskill, NY
National Provider Identifier
1689600207
Registry record updated Jul 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
195446 Issued in NY
Practice address
146 Jefferson HTS
Catskill, NY 12414-1215
Phone
(518) 943-3415
Fax
(518) 943-0938
NPI assigned
Jun 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2007

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 195446 NY Primary

Addresses

Primary practice location

146 Jefferson HTS
Catskill, NY 12414-1215

Mailing address

PO Box 2000
Hudson, NY 12534-2000
Phone (518) 828-8363

Other identifiers 1

IdentifierTypeStateIssuer
01501028MedicaidNY

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
I20050415000737 NY Practitioner - Internal Medicine 9335186741 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
New York Medical College and Hospital for Women, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Columbia Memorial HospitalGroup PAC ID 5092709410, 171 clinicians

Practice addresses (Care Compare)

159 Jefferson HTS
Catskill, NY 12414-1237
Phone (518) 828-7601

2827 US Route 9
Valatie, NY 12184-0785
Phone (518) 828-8051

Hospital & facility affiliations

  • Eddy Visiting Nurse & Rehab Association Home health agency, Troy, NY, CCN 337203
  • Community Hospice, Inc, the Hospice, Albany, NY, CCN 331501
  • Columbia Memorial Hospital Hospital, Hudson, NY, CCN 330094
  • Albany Medical Center Hospital Hospital, Albany, NY, CCN 330013
  • St Peter'S Hospital Hospital, Albany, NY, CCN 330057

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
195446NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia Memorial Hospital CurrentSince Jul 1, 2005 Accepting new patients
Columbia Memorial Hospital CurrentSince Jul 1, 2005 Accepting new patients
Columbia Memorial Hospital Past Accepting new patients
St Vincents Hospital and Medical Center Past Accepting new patients

Locations

159 Jefferson Hts
Ste D201
Catskill, NY 12414
Phone (518) 943-3415

146 Jefferson Hts
Catskill, NY 12414
Phone (518) 943-3415

45 5 Mile Woods Rd
Catskill, NY 12414
Phone (518) 234-9450

345 State Route 296
Hensonville, NY 12439
Phone (518) 734-3260

71 Prospect Ave
Ste 130
Hudson, NY 12534
Phone (518) 697-3540

71 Prospect Ave
Hudson, NY 12534
Phone (518) 262-3773

2827 US Highway 9
Valatie, NY 12184
Phone (518) 828-7601

Interoperability endpoints

  • Direct secure messaging: emckeon100398@albanymed.direct-ci.com

Organizations & group practices 4

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 9

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": "1151107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184544000000",
    "number": "1689600207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2000",
            "city": "HUDSON",
            "state": "NY",
            "postal_code": "125342000",
            "telephone_number": "518-828-8363",
            "fax_number": "518-697-3388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 JEFFERSON HTS",
            "city": "CATSKILL",
            "state": "NY",
            "postal_code": "124141215",
            "telephone_number": "518-943-3415",
            "fax_number": "518-943-0938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKEON",
        "first_name": "ELISABETH",
        "middle_name": "W.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-24",
        "last_updated": "2007-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "195446",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01501028",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Catskill, NY

Sources for this page

Verify at the official NPI Registry.