Active NPI
Jaime Cepeda, MD
- Surgery Physician
- Middletown, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 229029
- Practice address
- 384 Crystal Run Rd Ste 201
Middletown, NY 10941-4073 - Phone
- (845) 692-8780
- NPI assigned
- Jun 20, 2006
- Last updated
- Sep 16, 2025
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 229029 | NY | Primary |
Addresses
Primary practice location
384 Crystal Run Rd Ste 201
Middletown, NY 10941-4073
Mailing address
384 Crystal Run Rd Ste 201
Middletown, NY 10941-4073
Phone (845) 692-8780
Other practice location 1
5 Hudson Valley Professional Plaza
Newburgh, NY 12550-3117
Phone (845) 692-8780
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02791564 | Medicaid | NY | |
| WNW101 | Other | NY | MEDICARE |
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
- General Surgery
- Education
- University of North Carolina at Chapel Hill School of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
384 Crystal Run Rd
Suite 201
Middletown, NY 10941-4073
Phone (845) 692-8780
460 Gidney Ave
Newburgh, NY 12550-3117
Phone (845) 692-8780
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 15 |
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Luke's Cornwall Hospital | Past | Accepting new patients | |
| Recoverhealth Medical Services, PLLC | Surgery | Past | Accepting new patients |
| Bon Secours Community Hospital | Past | Accepting new patients |
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- jamie.cepeda.1@3127.direct.athenahealth.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Specialist
- Middletown, NY
- NPI 1801993175
-
- General Acute Care Hospital
- Port Jervis, NY
- NPI 1659360709
-
- General Acute Care Hospital
- Newburgh, NY
- NPI 1003923434
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Port Jervis, NY
- NPI 1659360709
-
- General Acute Care Hospital
- Middletown, NY
- NPI 1609875772
-
- General Acute Care Hospital
- Newburgh, NY
- NPI 1003923434
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757980800000",
"number": "1811932965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "384 CRYSTAL RUN RD STE 201",
"city": "MIDDLETOWN",
"state": "NY",
"postal_code": "109414073",
"telephone_number": "845-692-8780",
"fax_number": "845-692-3439"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "384 CRYSTAL RUN RD STE 201",
"city": "MIDDLETOWN",
"state": "NY",
"postal_code": "109414073",
"telephone_number": "845-692-8780"
}
],
"practiceLocations": [
{
"address_1": "5 Hudson Valley Professional Plaza",
"address_purpose": "LOCATION",
"city": "Newburgh",
"state": "NY",
"postal_code": "125503117",
"country_code": "US",
"telephone_number": "845-692-8780",
"fax_number": "845-692-3439",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CEPEDA",
"first_name": "JAIME",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-20",
"last_updated": "2025-09-16",
"certification_date": "2025-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NY",
"license": "229029",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02791564",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "WNW101",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Middletown, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2025; 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.