James A Dellavalle, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

158928 Issued in NY

Practice address

33-57 Harrison St
Johnson City, NY 13790-2107

Phone

(607) 763-6412

Fax

(607) 763-5854

NPI assigned

Oct 4, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NY, PA2 enrollments

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 2

Specialty

Emergency MedicineAlso: Family Practice

Education

Drexel University College of Medicine, 1977

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Barnes-Kasson County Hospital 12 clinicians

Our Lady of Lourdes Memorial Hospital Inc 249 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Our Lady of Lourdes Memorial Hospital, Inc Hospital, Binghamton, NY, CCN 330011
• Barnes-Kasson County Hospital Hospital, Susquehanna, PA, CCN 391309
• Endless Mountains Health Systems Hospital, Montrose, PA, CCN 391306

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jdellavalle196829@direct-guthrie.org

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.

• Our Lady of Lourdes Memorial Hospital Inc.

  • General Acute Care Hospital
  • Binghamton, NY
  • NPI 1629087580

  NY

  Medicare reassignment Care Compare group NPD
• Barnes-Kasson County Hospital

  • Critical Access Hospital
  • Susquehanna, PA
  • NPI 1932138161

  PA

  Medicare reassignment Care Compare group NPD
• Emergency Medicine Physicians of Cortland County, PLLC

  • Emergency Medicine Physician
  • Cortland, NY
  • NPI 1609816024

  Emergency Medicine, NY

  Medicare reassignment NPD
• United Medical Associates PC

  • Clinic/Center
  • Binghamton, NY
  • NPI 1013972801

  NY

  Medicare reassignment NPD
• Our Lady of Lourdes Memorial Hospital, Inc.

  • Specialty Pharmacy
  • Johnson City, NY
  • NPI 1730982596
  Care Compare group NPD
• Barnes-Kasson County Hospital

  • Rural Health Clinic/Center
  • New Milford, PA
  • NPI 1497996037
  Care Compare group NPD (past)
• Our Lady of Lourdes Memorial Hospital Inc

  • Community/Retail Pharmacy
  • Binghamton, NY
  • NPI 1265077069
  Care Compare group
• Our Lady of Lourdes Memorial Hospital Inc

  • Community/Retail Pharmacy
  • Johnson City, NY
  • NPI 1508576612
  Care Compare group
• Our Lady of Lourdes Memorial Hospital, Inc

  • Community Based Hospice Care Agency
  • Vestal, NY
  • NPI 1336197714
  Care Compare group
• Our Lady of Lourdes Memorial Hospital, Inc.

  • Community/Retail Pharmacy
  • Vestal, NY
  • NPI 1063824852
  Care Compare group
• Our Lady of Lourdes Memorial Hospital, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Binghamton, NY
  • NPI 1649947649
  Care Compare group
• Our Lady of Lourdes Memorial Hospital, Inc.

  • Pharmacy
  • Binghamton, NY
  • NPI 1710332002
  Care Compare group

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

• Our Lady of Lourdes Memorial Hospital Inc.

  • General Acute Care Hospital
  • Binghamton, NY
  • NPI 1629087580

  Hospital

  Care Compare affiliation
• Barnes-Kasson County Hospital

  • Critical Access Hospital
  • Susquehanna, PA
  • NPI 1932138161

  Hospital

  Care Compare affiliation
• Endless Mountains Health Systems, Inc.

  • Critical Access Hospital
  • Montrose, PA
  • NPI 1215918560

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1128384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653264000000",
    "number": "1861489031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "346 GRAND AVE",
            "city": "JOHNSON CITY",
            "state": "NY",
            "postal_code": "137902580",
            "telephone_number": "607-763-6412",
            "fax_number": "607-763-5854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33-57 HARRISON ST",
            "city": "JOHNSON CITY",
            "state": "NY",
            "postal_code": "137902107",
            "telephone_number": "607-763-6412",
            "fax_number": "607-763-5854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELLAVALLE",
        "first_name": "JAMES",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-04",
        "last_updated": "2022-05-23",
        "certification_date": "2022-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "158928",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "158928",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00750789",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "james.dellavalle@ascension.org",
            "affiliation": "N",
            "endpointDescription": "Our Lady of Lourdes Memorial Hospital",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "169 Riverside Dr",
            "city": "Binghamton",
            "state": "NY",
            "country_code": "US",
            "postal_code": "139054246",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Zachary Davis, MD
• Maureen Mary Daws, FNP
• Tamer Dawud, MD
• Michenelle G Delille, PA
• Andrea Dellavalle, D.O.
• Maria Delrosario-Mantz, CRNA
• Kathleen Denicola-Prechtl
• Ishpal Deol, MBBS
• Kathleen Depersis, MA, CCC-SLP
• Perika Shaugn Deroche, MD

• All providers in Johnson City, NY
• Emergency Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2022; 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.
• 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.