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CARMEN BAUTISTA-DATOR MD PC
NPI 1912066242
Internal Medicine in Oswego, NY

Active since December 06, 2006
177 W 4TH ST, OSWEGO, NY 13126(315) 343-2151(315) 343-2100 Get Directions Write a Review

NPPES record last updated: May 20, 2008. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Carmen Bautista-dator Md Pc NPPES

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

CARMEN BAUTISTA-DATOR MD PC (NPI 1912066242) is a healthcare organization registered as an internal medicine in Oswego, New York and active in the NPI registry since December 2006. The organization lists Carmen Bautista Dator, Physician, as its authorized official.

NPPES Registry Identity

NPI1912066242
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameCARMEN BAUTISTA-DATOR MD PC
Location Address177 W 4TH STOswego, NY 13126-3009
Mailing Address177 W 4th StOswego, NY 13126-3009 · (315) 343-2151 · Fax (315) 343-2100
Phone(315) 343-2151
Fax(315) 343-2100
Organization SubpartNo
Authorized OfficialCarmen Bautista DatorPhysician · (315) 343-2151
Enumeration DateDecember 6, 2006
Last NPPES UpdateMay 20, 2008
✔ NPI 1912066242 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NY · 2300280
Definition
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.
177 W 4TH ST, Oswego, NY 13126
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Other Identifiers 2

Medicare UPINI02328NY
Medicare PINDD2908NY

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carmen Bautista-dator Md Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNew YorkEnrollment IDO20050609000362Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Carmen Bautista-Dator MD PC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Carlos Dator, MD
Family Practice
NPI 1114287158
110 W 6TH ST
Oswego, NY 13126
(315) 349-5511
✔ PECOS✔ Accepts Medicare0.2 mi
Carmen Bautista-Dator, MD
Family Practice
NPI 1346267291
177 W 4TH ST
Oswego, NY 13126
(315) 343-2151
✔ PECOS✔ Accepts Medicare0.6 mi

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 Carmen Bautista-Dator MD PC's NPI number?

The NPI number for Carmen Bautista-Dator MD PC is 1912066242. It was assigned to this organization in the NPPES registry on December 6, 2006.

Where is Carmen Bautista-Dator MD PC located?

Carmen Bautista-Dator MD PC is located at 177 W 4th St, Oswego, NY 13126. The listed phone number is (315) 343-2151.

What is Carmen Bautista-Dator MD PC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Carmen Bautista-Dator MD PC enrolled in Medicare?

Yes. Carmen Bautista-Dator MD PC is registered in the Medicare PECOS enrollment system.

When is Carmen Bautista-Dator MD PC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New York, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Carmen Bautista-Dator MD PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Family Practice, reassign their Medicare billing to Carmen Bautista-Dator MD PC. 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. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Carmen Bautista-Dator MD PC was last updated on May 20, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.