NPIMap

Individual provider Active NPI

Richard A Webber, M.D.

  • Internal Medicine Physician
  • Plattsburgh, NY
National Provider Identifier
1932279049
Registry record updated Mar 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
210018-1 Issued in NY
Practice address
16 Degrandpre Way
Suite 300
Plattsburgh, NY 12901-6451
Phone
(518) 561-8256
NPI assigned
Nov 8, 2006
Last updated
Mar 18, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2008

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 210018-1 NY Primary

Addresses

Primary practice location

16 Degrandpre Way
Suite 300
Plattsburgh, NY 12901-6451

Mailing address

16 Degrandpre Way
Suite 300
Plattsburgh, NY 12901-6451
Phone (518) 561-8256

Other identifiers 1

IdentifierTypeStateIssuer
01882737MedicaidNY

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
I20080116000644 NY Practitioner - Internal Medicine 2769430941 Reassigns benefits to 1 organization
Receives reassigned benefits from 1 practitioner
Practice locations: Plattsburgh, NY

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
George Washington University School of Medicine, 1997
Medicare assignment
May accept Medicare assignment
Group practices
Lake City Primary Care PLLCGroup PAC ID 0143458299, 7 clinicians

Practice addresses (Care Compare)

16 Degrandpre Way
Suite 300
Plattsburgh, NY 12901-6452
Phone (518) 561-8256

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
210018-1NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lake City Primary Care PLLC Internal Medicine CurrentSince Jan 1, 2014 Accepting new patients
Atlantic Professional Services of Rhode Island Incorporated Past Accepting new patients

Locations

16 Degrandpre Way
Ste 300
Plattsburgh, NY 12901
Phone (518) 561-8256

Interoperability endpoints

  • Direct secure messaging: rwebber@lakecity.medentdirect.com

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
The University of VT Health Network - Champlain Valley Physicians HospPlattsburgh, NY, CCN 330250 Hospital Corporate Director (6.7%) Jan 1, 2022
Champlain Valley Physicians Hospital Medical CenterPlattsburgh, NY, CCN 335442 Skilled nursing facility Corporate Director Jan 1, 2022

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Organizations & group practices 3

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 9

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": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205798400000",
    "number": "1932279049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 DEGRANDPRE WAY",
            "address_2": "SUITE 300",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129016451",
            "telephone_number": "518-561-8256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 DEGRANDPRE WAY",
            "address_2": "SUITE 300",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129016451",
            "telephone_number": "518-561-8256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBBER",
        "first_name": "RICHARD",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2008-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "210018-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01882737",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plattsburgh, NY

Sources for this page

Verify at the official NPI Registry.