Active NPI
Laurence M Degelsmith, MD
- Emergency Medicine Physician
- Mount Kisco, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 209260
- Practice address
- 400 East Main Street
Northern Westchester Hospital Emergency Department
Mount Kisco, NY 10549 - Phone
- (914) 666-1254
- Fax
- (914) 666-1931
- NPI assigned
- Sep 8, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 209260 | NY | Primary |
Addresses
Primary practice location
400 East Main Street
Northern Westchester Hospital Emergency Department
Mount Kisco, NY 10549
Mailing address
400 East Main Street
Northern Westchester Hospital Medical Affairs
Mount Kisco, NY 10549
Phone (914) 666-1200
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0607010000011 | Other | NY | FIDELIS CARE OF NY PIN |
| 000000106184 | Other | GHI HMO | |
| 4147747 | Other | MVP | |
| P2831171 | Other | OXFORD | |
| 0112885 | Other | GHI PPO | |
| 7391237 | Other | AETNA PPO | |
| 10051435D815 | Other | CAPITAL DISTR | |
| 3917852 | Other | AETNA HMO | |
| 5C7510 | Other | HEALTHNET | |
| 828481 | Other | BCBS | |
| 01814759 | 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
- Emergency Medicine
- Education
- New York Medical College, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
300 Community Dr
Manhasset, NY 11030-3816
Phone (516) 562-3058
Hospital & facility affiliations
- Northern Westchester Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.07 of 100
- Quality
- 79.77
- Promoting interoperability
- 88.77
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore-Lij Medical PC | Emergency Medicine | Current | Accepting new patients |
| North Shore - Lij Medical PC | Current | Accepting new patients | |
| Michael S Lippe MD, PC | Past | Accepting new patients | |
| Montefiore Medical Center | Emergency Medicine | Past | Accepting new patients |
Locations
111 E 210th St
Bronx, NY 10467
400 E Main St
Mount Kisco, NY 10549
Phone (914) 666-1200
400 E Main St
Fl 4
Mount Kisco, NY 10549
Phone (914) 242-8318
300 Community Dr
Plandome, NY 11030
255 Lafayette Ave
Suffern, NY 10901
Phone (845) 357-7830
972 Brush Hollow Rd
Westbury, NY 11590
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
Interoperability endpoints
- ldegelsmith65130@northwell.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.
-
- Internal Medicine Physician
- New Hyde Park, NY
- NPI 1790043479
-
- Personal Emergency Response Attendant
- Suffern, NY
- NPI 1205871704
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": "1126137600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190592000000",
"number": "1720072556",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "400 EAST MAIN STREET",
"address_2": "NORTHERN WESTCHESTER HOSPITAL MEDICAL AFFAIRS",
"city": "MOUNT KISCO",
"state": "NY",
"postal_code": "10549",
"telephone_number": "914-666-1200",
"fax_number": "914-666-1965"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 EAST MAIN STREET",
"address_2": "NORTHERN WESTCHESTER HOSPITAL EMERGENCY DEPARTMENT",
"city": "MOUNT KISCO",
"state": "NY",
"postal_code": "10549",
"telephone_number": "914-666-1254",
"fax_number": "914-666-1931"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEGELSMITH",
"first_name": "LAURENCE",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-08",
"last_updated": "2007-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NY",
"license": "209260",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIDELIS CARE OF NY PIN",
"identifier": "0607010000011",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI HMO",
"identifier": "000000106184",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP",
"identifier": "4147747",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P2831171",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI PPO",
"identifier": "0112885",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PPO",
"identifier": "7391237",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL DISTR",
"identifier": "10051435D815",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "3917852",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "5C7510",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "828481",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01814759",
"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 Sep 24, 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.