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BEAUMONT GASTROENTEROLOGY SERVICES
NPI 1679950430
Internal Medicine - Gastroenterology in Plattsburgh, NY

Active since April 30, 2015
14 DURKEE ST, SUITE 125, PLATTSBURGH, NY 12901(518) 310-3890(518) 536-9066 Get Directions Write a Review

NPPES record last updated: June 1, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Beaumont Gastroenterology Services NPPES

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

BEAUMONT GASTROENTEROLOGY SERVICES (NPI 1679950430) is a healthcare organization registered as a gastroenterology in Plattsburgh, New York and active in the NPI registry since April 2015. The organization lists Paolo Fedi, President, as its authorized official.

NPPES Registry Identity

NPI1679950430
Entity TypeOrganization
Primary Taxonomy207RG0100X
Legal Business NameBEAUMONT GASTROENTEROLOGY SERVICES
Location Address14 DURKEE ST, SUITE 125Plattsburgh, NY 12901-2989
Mailing Address168 Us OvalPlattsburgh, NY 12903-3900 · (518) 310-3890
Phone(518) 310-3890
Fax(518) 536-9066
Organization SubpartNo
Authorized OfficialPaolo FediPresident · (518) 561-8679
Enumeration DateApril 30, 2015
Last NPPES UpdateJune 1, 2015
✔ NPI 1679950430 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in NY · 230138
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
14 DURKEE ST, Plattsburgh, NY 12901
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Beaumont Gastroenterology Services is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Beaumont Gastroenterology Services, which bills Medicare for the services this clinician delivers.

Clinician (1)

Paolo Fedi, MD
Gastroenterology
NPI 1043257819
14 DURKEE ST STE 125
Plattsburgh, NY 12901
(518) 310-3890
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Beaumont Gastroenterology Services's NPI number?

The NPI number for Beaumont Gastroenterology Services is 1679950430. It was assigned to this organization in the NPPES registry on April 30, 2015.

Where is Beaumont Gastroenterology Services located?

Beaumont Gastroenterology Services is located at 14 Durkee St Suite 125, Plattsburgh, NY 12901. The listed phone number is (518) 310-3890.

What is Beaumont Gastroenterology Services's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Beaumont Gastroenterology Services enrolled in Medicare?

Yes. Beaumont Gastroenterology Services is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Beaumont Gastroenterology Services?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Gastroenterology) reassigns their Medicare billing to Beaumont Gastroenterology Services. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Beaumont Gastroenterology Services was last updated on June 1, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.