Individual provider Active NPI

Robert W Delorme, MD

  • Family Medicine Physician
  • Hamilton, NY
National Provider Identifier
1912908005
Registry record updated Aug 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
134470 Issued in NY
Practice address
164 Broad St
Hamilton, NY 13346-9575
Phone
(315) 824-4600
Fax
(315) 824-8447
NPI assigned
Aug 10, 2005
Sex
Male
Sole proprietor
No

Organizations & group practices 8

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 2

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

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Memorial Hospital 43 clinicians

Practice addresses (Care Compare)

150 Broad St
Hamilton, NY 13346-9575
Phone (315) 824-1100

164 Broad St
Hamilton, NY 13346-9575
Phone (315) 824-4600

Hospital & facility affiliations

  • Community Memorial Hospital, Inc Hospital, Hamilton, NY, CCN 331316

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

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
I20060331000534 NY Practitioner - Family Practice 2466401021 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
134470NYMDGeriatric Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Memorial Hospital Family Medicine CurrentSince Jan 1, 1992 Accepting new patients
Community Memorial Hospital Family Medicine CurrentSince Jan 1, 1992 Accepting new patients
Port City Emergency Physicians LLP Current Accepting new patients
Port City Emergency Physicians LLP CurrentSince Jul 15, 2018 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

3045 John Trush Jr Blvd
Cazenovia, NY 13035
Phone (315) 824-7040

150 Broad St
Hamilton, NY 13346
Phone (315) 824-1100

164 Broad St
Hamilton, NY 13346
Phone (315) 648-6411

3460 South St
Morrisville, NY 13408
Phone (315) 684-3117

5180 S Main St
Munnsville, NY 13409
Phone (315) 495-2690

110 W 6th St
Oswego, NY 13126
Phone (315) 349-5511

117 W Main St
Waterville, NY 13480
Phone (315) 841-4178

Interoperability endpoints

  • Direct secure messaging: robertd@hiemail.healtheconnections.org
  • Direct secure messaging: rdelorme@cmhhamilton.medentdirect.com

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 134470 NY Primary
Geriatric Medicine (Family Medicine) Physician 207QG0300X 134470 NY

Addresses

NPPES NPI Registry

Primary practice location

164 Broad St
Hamilton, NY 13346-9575

Mailing address

PO Box 317
Hamilton, NY 13346-0317
Phone (315) 824-6082

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
00555606MedicaidNY

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 5, 2010.

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280966400000",
    "number": "1912908005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 317",
            "city": "HAMILTON",
            "state": "NY",
            "postal_code": "133460317",
            "telephone_number": "315-824-6082",
            "fax_number": "315-824-3182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 BROAD ST",
            "city": "HAMILTON",
            "state": "NY",
            "postal_code": "133469575",
            "telephone_number": "315-824-4600",
            "fax_number": "315-824-8447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELORME",
        "first_name": "ROBERT",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-10",
        "last_updated": "2010-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "134470",
            "primary": true
        },
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "NY",
            "license": "134470",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00555606",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamilton, NY

Sources for this page

Verify at the official NPI Registry.