Active NPI
Sam Thompson, M.D.
- Internal Medicine Physician
- Elmira, NY
National Provider Identifier
1821172362
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 195774
- Practice address
- 722 W Water St
Elmira, NY 14905-2435 - Phone
- (607) 271-2050
- Fax
- (607) 271-2099
- NPI assigned
- Oct 24, 2006
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 195774 | NY | Primary |
Addresses
Primary practice location
722 W Water St
Elmira, NY 14905-2435
Mailing address
425 Pennsylvania Ave
Elmira, NY 14904-1762
Phone (607) 732-1310
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2504011 | Other | GHI |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100301000747 | NY | Practitioner - Family Practice | 1759426992 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arnot Medical Services PLLC | Internal Medicine | Past | Accepting new patients |
| Arnot Ogden Medical Center | Past | Accepting new patients | |
| Fort Edward Rescue Squad Inc | Past | Accepting new patients | |
| Arnot Ogden Medical Center | Internal Medicine | Past | Accepting new patients |
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.
-
- Internal Medicine Physician
- Elmira, NY
- NPI 1427326768
-
- General Acute Care Hospital
- Elmira, NY
- NPI 1083605661
-
- Internal Medicine Physician
- Elmira, NY
- NPI 1265580286
-
- Ambulance
- Fort Edward, NY
- NPI 1427031319
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1425859200000",
"number": "1821172362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "425 PENNSYLVANIA AVE",
"city": "ELMIRA",
"state": "NY",
"postal_code": "149041762",
"telephone_number": "607-732-1310",
"fax_number": "607-733-0940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "722 W WATER ST",
"city": "ELMIRA",
"state": "NY",
"postal_code": "149052435",
"telephone_number": "607-271-2050",
"fax_number": "607-271-2099"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON",
"first_name": "SAM",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-24",
"last_updated": "2015-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "195774",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "2504011",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Elmira, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2015; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.