Individual provider Active NPI

Philip R Totonelly, MD

  • Interventional Cardiology Physician
  • Fishkill, NY
National Provider Identifier
1821180399
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
140194 Issued in NY
Practice address
841 Route 52 Ste 6
Fishkill, NY 12524-1562
Phone
(845) 831-0471
Fax
(845) 831-0306
NPI assigned
Sep 29, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X 140194 NY Primary

Addresses

Primary practice location

841 Route 52 Ste 6
Fishkill, NY 12524-1562

Mailing address

12 Rolling Ridge CT
Mt Kisco, NY 10549
Phone (845) 831-0471

Other practice location 1

560 Route 52, Suite 102
Beacon, NY 12508-1208
Phone (845) 831-0471

Other identifiers 1

IdentifierTypeStateIssuer
00895189MedicaidNY

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091009000051 NY Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 7719985225 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
New York Medical College, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

200 Westage Business Ctr Dr
Suite 320
Fishkill, NY 12524-2265
Phone (845) 831-0471

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal66

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
N. S. So Island Diag GRP Past Accepting new patients
Anastasios Pelias, M.D.,PC 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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1821180399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 ROLLING RIDGE CT",
            "city": "MT KISCO",
            "state": "NY",
            "postal_code": "10549",
            "telephone_number": "845-831-0471",
            "fax_number": "845-831-0306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "841 ROUTE 52 STE 6",
            "city": "FISHKILL",
            "state": "NY",
            "postal_code": "125241562",
            "telephone_number": "845-831-0471",
            "fax_number": "845-831-0306"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "560 Route 52, Suite 102",
            "address_purpose": "LOCATION",
            "city": "Beacon",
            "state": "NY",
            "postal_code": "125081208",
            "country_code": "US",
            "telephone_number": "845-831-0471",
            "fax_number": "845-831-0306",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TOTONELLY",
        "first_name": "PHILIP",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-29",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NY",
            "license": "140194",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00895189",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fishkill, NY

Sources for this page

Verify at the official NPI Registry.