Individual provider Active NPI

Donald R Morere Jr., M.D.

  • Gastroenterology Physician
  • Burnt Hills, NY
National Provider Identifier
1689678930
Registry record updated May 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
154613 Issued in NY
Practice address
848 Route 50
Burnt Hills, NY 12027
Phone
(518) 831-1500
Fax
(518) 280-8464
NPI assigned
Jun 2, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 154613 NY Primary

Addresses

Primary practice location

848 Route 50
Burnt Hills, NY 12027

Mailing address

848 Route 50
Burnt Hills, NY 12027-9511
Phone (518) 831-1500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, NM2 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
I20230228001519 MN Practitioner - Gastroenterology 7416910708 Reassigns benefits to 1 organization
I20230427001778 NM Practitioner - Gastroenterology 7416910708 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
79071MNMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Presbyterian Healthcare Services CurrentSince Apr 4, 2023 Accepting new patients
Presbyterian Healthcare Services CurrentSince Apr 4, 2023 Accepting new patients
Lakewood Health System Current Accepting new patients

Locations

49725 County 83
Staples, MN 56479
Phone (218) 894-1033

1100 Central Ave SE
Albuquerque, NM 87106
Phone (505) 724-6124

2200 W 21st St
Clovis, NM 88101
Phone (505) 769-7577

Interoperability endpoints

  • Direct secure messaging: dmorere226733@direct.phs.org

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1117670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527638400000",
    "number": "1689678930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "848 ROUTE 50",
            "city": "BURNT HILLS",
            "state": "NY",
            "postal_code": "120279511",
            "telephone_number": "518-831-1500",
            "fax_number": "518-280-8464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "848 ROUTE 50",
            "city": "BURNT HILLS",
            "state": "NY",
            "postal_code": "12027",
            "telephone_number": "518-831-1500",
            "fax_number": "518-280-8464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORERE",
        "first_name": "DONALD",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-02",
        "last_updated": "2018-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "154613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burnt Hills, NY

Sources for this page

Verify at the official NPI Registry.