Individual provider Active NPI

Jacob Mihalkovic

  • Chiropractor
  • Plattsburgh, NY
National Provider Identifier
1831660083
Registry record updated Dec 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X013192-1 Issued in NY
Practice address
308 W Bay PLZ
Plattsburgh, NY 12901-1787
Phone
(518) 324-2700
NPI assigned
Dec 16, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 16, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X013192-1 NY Primary

Addresses

Primary practice location

308 W Bay PLZ
Plattsburgh, NY 12901-1787

Mailing address

12 Conifer Cir
Plattsburgh, NY 12901-7331

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190121001297 NY Practitioner - Chiropractic 3678810215 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Welcare Family and Sports Chiropractic PLLCGroup PAC ID 4486701299, 3 clinicians

Practice addresses (Care Compare)

308 W Bay PLZ
Plattsburgh, NY 12901-1787
Phone (518) 324-2700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
013192NYMDPsychologist
X013192-1NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Welcare Family & Sports Chiropractic, PLLC CurrentSince Jan 2, 2019 Accepting new patients

Locations

308 W Bay Plz
Plattsburgh, NY 12901
Phone (518) 324-2700

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.

NPI Registry JSON

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

{
    "created_epoch": "1544918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544918400000",
    "number": "1831660083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 CONIFER CIR",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129017331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 W BAY PLZ",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129011787",
            "telephone_number": "518-324-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIHALKOVIC",
        "first_name": "JACOB",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-12-16",
        "last_updated": "2018-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X013192-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plattsburgh, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.