SAMSON PACHIKARA MD PC NPI 1831200088

NPI Information

  • NPI: 1831200088
  • Provider Name: SAMSON PACHIKARA MD PC
  • Classification: Internal Medicine - 207R00000X
  • Entity Type: Organization
  • CLIA Number: 33D0167248
  • Address: 123 GENESEE ST
    NEW HARTFORD, NY
    ZIP 13413
  • Phone: (315) 797-2314

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NPI Details

SAMSON PACHIKARA MD PC is an internal medicine in New Hartford, NY. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. SAMSON PACHIKARA MD PC NPI is 1831200088. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

123 GENESEE ST
NEW HARTFORD, NY
ZIP 13413-323
Phone: (315) 797-2314
Fax: (315) 797-0850

The provider's authorized official is Samson A Pachikara .
The authorized official title is Ceo and has the following contact phone number (315) 797-2314.

The CLIA number assigned to this NPI record is 33D0167248 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/31/2006 and was last updated on 7/5/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily Medicine221758NEW YORKNo
2207R00000XInternal Medicine203801NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1DA2210MEDICARE ID-TYPE UNSPECIFIEDRAILROAD MEDICARE
201797153MEDICAIDNEW YORK
3AA1624MEDICARE ID-TYPE UNSPECIFIEDNEW YORK
4=========OTHEREXCELLUS/BS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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