Individual provider Active NPI

Mehmet O Karliyil, MD

  • Pediatric Emergency Medicine (Pediatrics) Physician
  • Montour Falls, NY
National Provider Identifier
1821280538
Registry record updated Jun 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Emergency Medicine (Pediatrics) PhysicianTaxonomy code 2080P0204X
License
182377 Issued in NY
Practice address
220 Steuben St
Montour Falls, NY 14865-9740
Phone
(800) 444-7009
NPI assigned
Aug 16, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 182377-1 NY
Pediatrics Physician 208000000X 182377 NY
Pediatric Emergency Medicine (Pediatrics) Physician 2080P0204X 182377 NY Primary

Addresses

Primary practice location

220 Steuben St
Montour Falls, NY 14865-9740

Mailing address

20 Grand St
FL 3
Warwick, NY 10990-1035
Phone (845) 368-5000

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
I20040323001425 NY Practitioner - Pediatric MedicinePractitioner - Emergency Medicine 7618868175 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
182377NYMDLicensed Vocational Nurse
182377-1NYMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
MVHS Inc CurrentSince Dec 1, 2018 Accepting new patients
MVHS Inc CurrentSince Dec 1, 2018 Accepting new patients
Southern Bank Emergency Physicians LLC Emergency Medicine PastSince Sep 24, 2023 Accepting new patients
Valley Children'S Medical Group Pediatrics Past Accepting new patients
Finger Lakes Emergency Physicians Emergency Medicine Past Accepting new patients

Locations

140 Burwell St
Little Falls, NY 13365
Phone (315) 823-1000

1676 Sunset Ave
Utica, NY 13502
Phone (315) 624-5567

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1187222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591920000000",
    "number": "1821280538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 GRAND ST",
            "address_2": "FL 3",
            "city": "WARWICK",
            "state": "NY",
            "postal_code": "109901035",
            "telephone_number": "845-368-5000",
            "fax_number": "845-987-5979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 STEUBEN ST",
            "city": "MONTOUR FALLS",
            "state": "NY",
            "postal_code": "148659740",
            "telephone_number": "800-444-7009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARLIYIL",
        "first_name": "MEHMET",
        "middle_name": "O",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-16",
        "last_updated": "2020-06-12",
        "certification_date": "2020-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "182377-1",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "182377",
            "primary": false
        },
        {
            "code": "2080P0204X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Emergency Medicine",
            "state": "NY",
            "license": "182377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Montour Falls, NY

Sources for this page

Verify at the official NPI Registry.