Active NPI
Stephen Charles Verral, D.O.
- Dermatology Physician
- Glens Falls, NY
National Provider Identifier
1821119124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 243122-1
- Practice address
- 1 S Western Ave
Glens Falls, NY 12801-3304 - Phone
- (518) 745-5280
- Fax
- (518) 745-5284
- NPI assigned
- Apr 3, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 243122-1 | NY | Primary |
Addresses
Primary practice location
1 S Western Ave
Glens Falls, NY 12801-3304
Mailing address
1 S Western Ave
Glens Falls, NY 12801-3304
Phone (518) 745-5280
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02893323 | 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
- Dermatology
- Education
- At Still University of Health Sciences, College of Osteo Med, Kirksville, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 S Western Ave
Suite 103
Glens Falls, NY 12801-3304
Phone (518) 745-5280
Hospital & facility affiliations
- Glens Falls Hospital
- Saratoga Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 78 |
| Removal of skin lesions | 4304 |
| Removal of nail tissue | 1-10 |
| Removal or shaving of skin growth | 22 |
| Skin biopsy | 770 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 243122-1 | NY | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gateway Dermatology, P.C. | Current | Accepting new patients |
Locations
1 S Western Ave
Glens Falls, NY 12801
Phone (518) 745-5280
1 S Western Ave
Ste 103
Glens Falls, NY 12801
Phone (518) 745-5280
2691 State Route 9
Ste 103
Malta, NY 12020
2691 State Route 9
Malta, NY 12020
Phone (518) 745-5280
Interoperability endpoints
- drverral@gatewaydermatology.medentdirect.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.
-
- Medical Specialty Clinic/Center
- Glens Falls, NY
- NPI 1851599047
Hospital & facility affiliations 19
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Glens Falls, NY
- NPI 1871606764
-
- Endocrinology, Diabetes & Metabolism Physician
- Gansevoort, NY
- NPI 1033371166
Hospital
-
- General Acute Care Hospital
- Saratoga Springs, NY
- NPI 1073569331
-
- General Acute Care Hospital
- Saratoga Springs, NY
- NPI 1093078560
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175558400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666915200000",
"number": "1821119124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 S WESTERN AVE",
"city": "GLENS FALLS",
"state": "NY",
"postal_code": "128013304",
"telephone_number": "518-745-5280",
"fax_number": "518-745-5284"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 S WESTERN AVE",
"city": "GLENS FALLS",
"state": "NY",
"postal_code": "128013304",
"telephone_number": "518-745-5280",
"fax_number": "518-745-5284"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VERRAL",
"first_name": "STEPHEN",
"middle_name": "CHARLES",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-04-03",
"last_updated": "2022-10-28",
"certification_date": "2022-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "NY",
"license": "243122-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02893323",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Glens Falls, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2022; 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.