DYLAN JAMES WINTER DO
NPI 1104569136
Student in an Organized Health Care Education/Training Program in Binghamton, NY

Active since April 18, 2022PECOS EnrolledAccepts Medicare Assignment
169 RIVERSIDE DR, BINGHAMTON, NY 13905(607) 798-5111 Get Directions Write a Review

NPPES record last updated: April 18, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dylan James Winter Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DYLAN JAMES WINTER DO (NPI 1104569136) is an individual student in an organized health care education/training program in Binghamton, New York and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS, is affiliated with Our Lady Of Lourdes Memorial Hospital, Inc, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1104569136
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDYLAN JAMES WINTERCredential: DO
Location Address169 RIVERSIDE DRBinghamton, NY 13905-4198
Mailing Address402 Balsam DrNew Windsor, NY 12553-4756 · (845) 825-7912
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateApril 18, 2022
NPPES CertifiedApril 18, 2022
NPI 1104569136 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
169 RIVERSIDE DR, Binghamton, NY 13905

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dylan James Winter Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7618471012
PECOS Enrollment IDI20250918002846
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Our Lady Of Lourdes Memorial Hospital, Inc

Acute Care Hospitals · Binghamton, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330011
Location169 Riverside DriveBinghamton, NY 13905 · Broome County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
169 RIVERSIDE DR
BINGHAMTON, NY 13905
Nurse Practitioner
169 RIVERSIDE DR
BINGHAMTON, NY 13905
Nurse Practitioner (Adult Health)
169 RIVERSIDE DR
BINGHAMTON, NY 13905
Student in an Organized Health Care Education/Training Program
169 RIVERSIDE DR
BINGHAMTON, NY 13905
Student in an Organized Health Care Education/Training Program
169 RIVERSIDE DR
BINGHAMTON, NY 13905
Nurse Practitioner (Family)
169 RIVERSIDE DR
BINGHAMTON, NY 13905
Licensed Practical Nurse
169 RIVERSIDE DR
BINGHAMTON, NY 13905
Urology
169 RIVERSIDE DR, DEPAUL PAVILION
BINGHAMTON, NY 13905

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dylan Winter's NPI number?

The NPI number for Dylan Winter is 1104569136. It was assigned to this individual provider in the NPPES registry on April 18, 2022.

Where is Dylan Winter located?

Dylan Winter practices at 169 Riverside Dr, Binghamton, NY 13905. The listed phone number is (607) 798-5111.

What is Dylan Winter's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Dylan Winter enrolled in Medicare?

Yes. Dylan Winter is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Dylan Winter affiliated with any hospitals?

According to CMS data, Dylan Winter is affiliated with Our Lady Of Lourdes Memorial Hospital, Inc.

When was this NPI record last updated?

The NPPES record for Dylan Winter was last updated on April 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.