Active NPI
Adrienne L Salomon, DO
- Family Medicine Physician
- Cortland, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 241330
- Practice address
- 14 Kennedy Pkwy
Cortland, NY 13045-1435 - Phone
- (607) 756-9941
- Fax
- (315) 634-6789
- NPI assigned
- Aug 21, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 241330 | NY | Primary |
Addresses
Primary practice location
14 Kennedy Pkwy
Cortland, NY 13045-1435
Mailing address
14 Kennedy Pkwy
Cortland, NY 13045-1435
Phone (607) 756-9941
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02816053 | Medicaid | NY |
Other names 1
- Adrienne L Stevens
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- New York College of Osteo Medicine of New York Institute of Technology, 2003
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
125 Harry Howard Ave
Hudson, NY 12534-1601
Phone (800) 479-7695
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.27 of 100
- Quality
- 82.87
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 241330 | NY | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Our Lady of Lourdes Memorial Hospital, Inc. | Family Medicine | Current | Accepting new patients |
| Cayuga Medical Associates, PC | Current | Accepting new patients | |
| Our Lady of Lourdes Memorial Hospital, Inc. | Current | Accepting new patients | |
| Our Lady of Lourdes Memorial Hospital Inc. | Current | Accepting new patients | |
| Twin Tier Pathology Associates, PC | Current | Accepting new patients |
Locations
169 Riverside Dr
Binghamton, NY 13905
Phone (607) 798-5111
14 Kennedy Pkwy
Cortland, NY 13045
Phone (607) 591-4429
310 Taughannock Blvd
Fl 4
Ithaca, NY 14850
Phone (607) 269-0100
500 5th Ave
Owego, NY 13827
Phone (607) 687-1122
1001 W Fayette St
Ste 400
Syracuse, NY 13204
Phone (315) 472-1488
Organizations & group practices 6
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.
-
- Internal Medicine Physician
- Ithaca, NY
- NPI 1679525455
-
dba Lourdes
- General Acute Care Hospital
- Binghamton, NY
- NPI 1629087580
-
- Rehabilitation Clinic/Center
- Hudson, NY
- NPI 1457026353
-
dba Lourdes
- Family Medicine Physician
- Binghamton, NY
- NPI 1063557189
-
- Specialty Pharmacy
- Johnson City, NY
- NPI 1730982596
-
- Clinical Pathology/Laboratory Medicine Physician
- Binghamton, NY
- NPI 1770577470
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619049600000",
"number": "1881700177",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 KENNEDY PKWY",
"city": "CORTLAND",
"state": "NY",
"postal_code": "130451435",
"telephone_number": "607-756-9941",
"fax_number": "315-634-6789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14 KENNEDY PKWY",
"city": "CORTLAND",
"state": "NY",
"postal_code": "130451435",
"telephone_number": "607-756-9941",
"fax_number": "315-634-6789"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALOMON",
"first_name": "ADRIENNE",
"middle_name": "L",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-21",
"last_updated": "2021-04-22",
"certification_date": "2021-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "241330",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02816053",
"state": "NY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ADRIENNE",
"last_name": "STEVENS",
"middle_name": "L",
"credential": "DO",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Cortland, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2021; 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.