Patrick J Carguello, D.O.
Individual provider Active NPI Family Medicine Physician · Pulaski, NY
NPI 1821082009 · NPPES record last updated Dec 21, 2009
Key facts
- NPI
- 1821082009
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 216292 (NY)
- Practice address
- 61 Delano St
Pulaski, NY 13142-1400 - Phone
- (315) 298-6569
- Fax
- (315) 298-7488
- NPI assigned
- Sep 2, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 13
Hospital & facility affiliations 6
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- New York College of Osteo Medicine of New York Institute of Technology, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Northern Oswego County Health Services, Inc.
Practice addresses (Care Compare)
61 Delano St
Pulaski, NY 13142-1400
Phone (315) 298-6569
Hospital & facility affiliations
- Centerwell Home Health
- Oswego Health Home Care, LLC
- Hospice of Central New York
- Hospice of Jefferson Co/Palliative Care of Jeffers
- Oswego Hospital
- Samaritan Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040122000249 | NY | Practitioner - Family Practice | 1658273578 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 216292 | NY | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northern Oswego County Health Services, Inc. | Current |
Accepting new patients |
Locations
3045 East Ave
Ste G400
Central Square, NY 13036
Phone (315) 675-9200
61 Delano St
Pulaski, NY 13142
Phone (315) 298-4274
Interoperability endpoints
- patrick.carguello@nochsi.directbygreenway.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 216292 | NY | Yes |
Addresses
Primary practice location
61 Delano St
Pulaski, NY 13142-1400
Mailing address
61 Delano St
Pulaski, NY 13142-1400
Phone (315) 298-6569
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00307662 | Medicaid | NY | |
| 331880 | Other | FQHC NUMBER | |
| 00216292 | Medicaid | NY |
Other providers in Pulaski, NY
- Calandra Bryant
- William J Buckley
- Melissa J Burlingame
- Crystal Marie Burrows
- Nathanial Burrows
- Jay W Chapman
- Patricia L Chapman
- Angela L Christmas-Mattison
- Kristie Connor
- Timothy Cook
All providers in Pulaski, NY · Family Medicine Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 21, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.