NPIMap

Individual provider Active NPI

Abin Samson Pachikara, MD

  • Internal Medicine Physician
  • New Hartford, NY
National Provider Identifier
1689979759
Registry record updated Sep 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
263581 Issued in NY
Practice address
123 Genesee St
New Hartford, NY 13413-2323
Phone
(315) 797-2314
Fax
(315) 797-0850
NPI assigned
Jan 20, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X 263581 NY Primary

Addresses

Primary practice location

123 Genesee St
New Hartford, NY 13413-2323

Mailing address

123 Genesee St
Department of Medicine, Mungar Pavilion, Room 253
New Hartford, NY 13413-2323
Phone (315) 797-2314

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
I20120223000445 NY Practitioner - Internal Medicine 5698933588 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Samson Pachikara MD PCGroup PAC ID 9537176102, 2 clinicians

Practice addresses (Care Compare)

123 Genesee St
New Hartford, NY 13413-2323
Phone (315) 797-2314

Hospital & facility affiliations

  • Acacia Certified Home Care Co Home health agency, Utica, NY, CCN 337423
  • Vna Utica and Oneida Co Chha Home health agency, Utica, NY, CCN 337078
  • Wynn Hospital Hospital, Utica, NY, CCN 330044
  • Rome Memorial Hospital, Inc Hospital, Rome, NY, CCN 330215

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Samson Pachikara MD PC Multi-Specialty CurrentSince Dec 1, 2011 Accepting new patients

Locations

123 Genesee St
Rm 253
New Hartford, NY 13413

123 Genesee St
New Hartford, NY 13413
Phone (315) 797-2314

Interoperability endpoints

  • Direct secure messaging: abin.pachikara@samsonpachikaramdpc.chartmakerdirect.com

Organizations & group practices 1

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 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": "1295481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632960000000",
    "number": "1689979759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 GENESEE ST",
            "address_2": "DEPARTMENT OF MEDICINE, MUNGAR PAVILION, ROOM 253",
            "city": "NEW HARTFORD",
            "state": "NY",
            "postal_code": "134132323",
            "telephone_number": "315-797-2314",
            "fax_number": "315-797-0850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 GENESEE ST",
            "city": "NEW HARTFORD",
            "state": "NY",
            "postal_code": "134132323",
            "telephone_number": "315-797-2314",
            "fax_number": "315-797-0850"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACHIKARA",
        "first_name": "ABIN",
        "middle_name": "SAMSON",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-01-20",
        "last_updated": "2021-09-30",
        "certification_date": "2021-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "263581",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Hartford, NY

Sources for this page

Verify at the official NPI Registry.