Individual provider Active NPI

Lwin Moe Win, MD

  • Internal Medicine Physician
  • Barneveld, NY
National Provider Identifier
1912119595
Registry record updated Dec 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
250746 Issued in NY
Practice address
7980 State Route 12
Barneveld, NY 13304-2536
Phone
(315) 624-8800
Fax
(315) 624-8810
NPI assigned
May 4, 2007
Last updated
Dec 13, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 250746 NY Primary

Addresses

Primary practice location

7980 State Route 12
Barneveld, NY 13304-2536

Mailing address

2209 Genesee Street
Business Office Room 315
Utica, NY 13501-5930
Phone (315) 801-3282

Other identifiers 1

IdentifierTypeStateIssuer
03187973MedicaidNY

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
I20090505000440 NY Practitioner - Internal Medicine 5496847717 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rome Memorial Hospital, Inc.Group PAC ID 9638087273, 56 clinicians

Practice addresses (Care Compare)

1819 Black River Blvd N
Rome, NY 13440-2451
Phone (315) 338-7184

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Rome Memorial Hospital, Inc. CurrentSince Aug 1, 2022 Accepting new patients
MVHS Inc CurrentSince Jul 1, 2010 Accepting new patients
Rome Memorial Hospital, Inc. CurrentSince Aug 1, 2022 Accepting new patients
MVHS Inc CurrentSince Jul 1, 2010 Accepting new patients

Locations

7980 State Route 12
Barneveld, NY 13304
Phone (315) 624-8440

295 W Main St
Ilion, NY 13357
Phone (315) 894-3132

8411 Seneca Tpke
New Hartford, NY 13413
Phone (315) 624-8500

1500 N James St
Rome, NY 13440
Phone (315) 338-7000

1819 Black River Blvd N
Rome, NY 13440
Phone (315) 337-0429

1656 Champlin Ave
Utica, NY 13502
Phone (315) 624-6241

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

2209 Genesee St
Ofc
Utica, NY 13501
Phone (315) 801-3282

37 Main St
Whitesboro, NY 13492
Phone (315) 624-8800

Interoperability endpoints

  • Direct secure messaging: lwin@rmh.medalliesdirect.net
  • Direct secure messaging: lwin@rmhclinics.medentdirect.com
  • Direct secure messaging: lwin1@hiemail.healtheconnections.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576195200000",
    "number": "1912119595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2209 GENESEE STREET",
            "address_2": "BUSINESS OFFICE ROOM 315",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135015930",
            "telephone_number": "315-801-3282",
            "fax_number": "315-801-8391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7980 STATE ROUTE 12",
            "city": "BARNEVELD",
            "state": "NY",
            "postal_code": "133042536",
            "telephone_number": "315-624-8800",
            "fax_number": "315-624-8810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIN",
        "first_name": "LWIN",
        "middle_name": "MOE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-04",
        "last_updated": "2019-12-13",
        "certification_date": "2019-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "250746",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03187973",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Barneveld, NY

Sources for this page

Verify at the official NPI Registry.