NPIMap

Individual provider Active NPI

Samuel K Merkhan, MD

  • Internal Medicine Physician
  • Catskill, NY
National Provider Identifier
1982691580
Registry record updated Nov 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
209006 Issued in NY
Practice address
159 Jefferson HTS
Suite D107
Catskill, NY 12414-1237
Phone
(518) 943-1442
Fax
(518) 943-2003
NPI assigned
Sep 29, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2007

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 209006 NY Primary

Addresses

Primary practice location

159 Jefferson HTS
Suite D107
Catskill, NY 12414-1237

Mailing address

949 Columbia St
Hudson, NY 12534-2624
Phone (518) 828-7188

Other identifiers 1

IdentifierTypeStateIssuer
01682842MedicaidNY

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
I20110317000059 NY Practitioner - Internal Medicine 5991839953 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Columbia Memorial HospitalGroup PAC ID 5092709410, 171 clinicians

Practice addresses (Care Compare)

159 Jefferson HTS
Catskill, NY 12414-1237
Phone (518) 828-7601

2827 US Route 9
Valatie, NY 12184-0785
Phone (518) 828-8051

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
000057NYMDPsychoanalyst
209006NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia Memorial Hospital CurrentSince Mar 1, 2012 Accepting new patients
Columbia Memorial Hospital CurrentSince Mar 1, 2012 Accepting new patients
Columbia Memorial Hospital Past Accepting new patients
Prime Columbia Greene Medical Associates, PC Internal Medicine Past Accepting new patients

Locations

159 Jefferson Hts
Catskill, NY 12414
Phone (518) 943-0212

159 Jefferson Hts
Ste D10
Catskill, NY 12414
Phone (518) 943-1442

159 Jefferson Hts
Ste D107
Catskill, NY 12414
Phone (518) 828-7280

159 Jefferson Hts
Ste D203
Catskill, NY 12414
Phone (518) 719-3500

71 Prospect Ave
Hudson, NY 12534
Phone (518) 262-3773

2827 US Highway 9
Valatie, NY 12184
Phone (518) 828-7601

1301 River St
Valatie, NY 12184
Phone (518) 758-6575

Interoperability endpoints

  • Direct secure messaging: smerkhan101048@albanymed.direct-ci.com

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 and National Provider Directory roles.

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": "1127952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194307200000",
    "number": "1982691580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "949 COLUMBIA ST",
            "city": "HUDSON",
            "state": "NY",
            "postal_code": "125342624",
            "telephone_number": "518-828-7188",
            "fax_number": "518-828-5049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 JEFFERSON HTS",
            "address_2": "SUITE D107",
            "city": "CATSKILL",
            "state": "NY",
            "postal_code": "124141237",
            "telephone_number": "518-943-1442",
            "fax_number": "518-943-2003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERKHAN",
        "first_name": "SAMUEL",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-29",
        "last_updated": "2007-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "209006",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01682842",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Catskill, NY

Sources for this page

Verify at the official NPI Registry.