NPIMap

Individual provider Active NPI

Anita M Bodrogi, DO

  • Family Medicine Physician
  • Plattsburgh, NY
National Provider Identifier
1851475487
Registry record updated Apr 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
230057 Issued in NY
Practice address
96 Court St
Plattsburgh, NY 12901-2733
Phone
(518) 562-2369
Fax
(518) 562-2263
NPI assigned
Oct 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 0320000511 VT
General Practice Physician 208D00000X 000000230057 NY
Family Medicine Physician 207Q00000X 230057 NY Primary

Addresses

Primary practice location

96 Court St
Plattsburgh, NY 12901-2733

Mailing address

96 Court St
Plattsburgh, NY 12901-2733
Phone (518) 562-2369

Other identifiers 4

IdentifierTypeStateIssuer
800084544OtherNYBC BS
4128833OtherVTMVP
0VN3526MedicaidVT
68536OtherVTBC BS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041109000733 NY Practitioner - Osteopathic Manipulative MedicinePractitioner - General PracticePractitioner - Family Practice 5294795563 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Osteopathic Manipulative MedicineAlso: Family Practice
Education
New York College of Osteo Medicine of New York Institute of Technology, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
In Health Family Medicine PCGroup PAC ID 8022269646, 5 clinicians

Practice addresses (Care Compare)

74 Margaret St
Plattsburgh, NY 12901-2925
Phone (518) 562-2369

Hospital & facility affiliations

  • HCR / HCR Home Care Chha (Plattsburgh) Home health agency, Plattsburgh, NY, CCN 337024
  • The University of Vermont Health Network - Champl Hospital, Plattsburgh, NY, CCN 330250
  • Adirondack Medical Center - Saranac Lake Hospital, Saranac Lake, NY, CCN 330079
  • The University of Vermont Health Network-Alice Hy Hospital, Malone, NY, CCN 331321

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
000000230057NYMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
In Health Family Medicine PC Family Medicine CurrentSince Mar 15, 2011 Accepting new patients
Dr Richard J D'Amico DO PC Family Medicine CurrentSince Aug 1, 2017 Accepting new patients
An Shen Acupuncture, PC Past Accepting new patients
Anita Bodrogi D.O. General Practice PastSince Jan 1, 1990 Accepting new patients
Health Conscious, Inc. Past Accepting new patients

Locations

74 Margaret St
Plattsburgh, NY 12901
Phone (518) 324-3074

96 Court St
Plattsburgh, NY 12901
Phone (518) 561-2281

Interoperability endpoints

  • Direct secure messaging: anita.bodrogi@anitabodrogido.chartmakerdirect.com

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.

Hospital & facility affiliations 8

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": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712707200000",
    "number": "1851475487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96 COURT ST",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129012733",
            "telephone_number": "518-562-2369",
            "fax_number": "518-562-2263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "96 COURT ST",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129012733",
            "telephone_number": "518-562-2369",
            "fax_number": "518-562-2263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BODROGI",
        "first_name": "ANITA",
        "middle_name": "M",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-24",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "VT",
            "license": "0320000511",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NY",
            "license": "000000230057",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "230057",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS",
            "identifier": "800084544",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "4128833",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0VN3526",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS",
            "identifier": "68536",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plattsburgh, NY

Sources for this page

Verify at the official NPI Registry.