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OPTUM MEDICAL CARE P.C. NPI 1982643003


NPI Information

NPI: 1982643003
Provider Name: OPTUM MEDICAL CARE, P.C.

Doing Business As: CAREMOUNT MEDICAL, P.C.

Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

CLIA Number: 33D0163303

Address:
90 SOUTH BEDFORD RD
MT KISCO MEDICAL GROUP PC
MOUNT KISCO, NY
ZIP 10549
Phone: (914) 241-1050
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OPTUM MEDICAL CARE, P.C. is a cardiovascular disease internal medicine in Mount Kisco, NY. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. OPTUM MEDICAL CARE, P.C. NPI is 1982643003. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Caremount Medical, P.c..

The provider's business location address is:

90 SOUTH BEDFORD RD
MT KISCO MEDICAL GROUP PC
MOUNT KISCO, NY
ZIP 10549-412
Phone: (914) 241-1050
Fax: (914) 242-1516

The provider's authorized official is Richard P Morel .
The authorized official title is President Optum Tri State and has the following contact phone number (914) 242-2940.

The CLIA number assigned to this NPI record is 33D0163303 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/5/2006 and was last updated on 2/21/2024.


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
1207RG0100XInternal MedicineGastroenterologyNo
2207KA0200XAllergy & ImmunologyAllergyNo
3207N00000XDermatologyNo
4207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismNo
5207RH0000XInternal MedicineHematologyNo
6207RH0003XInternal MedicineHematology & OncologyNo
7207VG0400XObstetrics & GynecologyGynecologyNo
8207XS0106XOrthopaedic SurgeryHand SurgeryNo
9207XX0004XOrthopaedic SurgeryFoot and Ankle SurgeryNo
102085R0202XRadiologyDiagnostic RadiologyNo
11208600000XSurgeryNo
12208C00000XColon & Rectal SurgeryNo
13231H00000XAudiologistNo
14367A00000XAdvanced Practice MidwifeNo
15207RC0000XInternal MedicineCardiovascular DiseaseYes

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
1CA0060OTHERNEW YORKMEDICARE RAILROAD
200547351MEDICAIDNEW YORK

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: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.