Active NPI
Craig Michael Fern, M.D.
- Specialist
- Mount Kisco, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 178025
- Practice address
- 105 S Bedford Rd
Suite 311
Mount Kisco, NY 10549-3441 - Phone
- (914) 244-3800
- Fax
- (914) 244-3596
- NPI assigned
- Jan 26, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 178025 | NY | Primary |
Addresses
Primary practice location
105 S Bedford Rd
Suite 311
Mount Kisco, NY 10549-3441
Mailing address
105 S Bedford Rd
Suite 311
Mount Kisco, NY 10549-3441
Phone (914) 244-3800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01719126 | Medicaid | NY |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- New York University School of Medicine, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
105 S Bedford Rd
Suite 311
Mount Kisco, NY 10549-3466
Phone (914) 244-3800
Hospital & facility affiliations
- Northern Westchester Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Craig M. Fern, M.D., P.C. | Specialist | Current | Accepting new patients |
| Westchester Vitreo Retinal, PC | Past | Accepting new patients | |
| Mount Kisco Medical Group | Past | Accepting new patients |
Locations
105 S Bedford Rd
Ste 311
Mount Kisco, NY 10549
Phone (914) 244-3800
34 S Broadway
Ste 112
White Plains, NY 10601
Phone (914) 285-0400
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
Interoperability endpoints
- cfern@westchester.intellechartdirect.net
- cfern68882@northwell.direct-ci.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 and National Provider Directory roles.
-
- Specialist
- Mount Kisco, NY
- NPI 1063431245
-
- Hematology (Internal Medicine) Physician
- Fishkill, NY
- NPI 1952356362
-
- Ophthalmology Physician
- Rye, NY
- NPI 1699971101
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Medicare Defined Swing Bed Hospital Unit
- Mount Kisco, NY
- NPI 1396178356
-
- General Acute Care Hospital
- Mount Kisco, NY
- NPI 1912992215
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138233600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1689644973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 S BEDFORD RD",
"address_2": "SUITE 311",
"city": "MOUNT KISCO",
"state": "NY",
"postal_code": "105493441",
"telephone_number": "914-244-3800",
"fax_number": "914-244-3596"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 S BEDFORD RD",
"address_2": "SUITE 311",
"city": "MOUNT KISCO",
"state": "NY",
"postal_code": "105493441",
"telephone_number": "914-244-3800",
"fax_number": "914-244-3596"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERN",
"first_name": "CRAIG",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "178025",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01719126",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mount Kisco, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.