| Nidal Makhoul, MD FACC FACP | |
|
52 Tom Miller Road, Plattsburgh, NY 12901-1252 | |
| (518) 563-2404 | |
| (518) 563-4033 |
| Full Name | Nidal Makhoul |
|---|---|
| Gender | Male |
| Speciality | Cardiovascular Disease (cardiology) |
| Experience | 45 Years |
| Location | 52 Tom Miller Road, Plattsburgh, New York |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063409282 | NPI | - | NPPES |
| 02041707 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RC0000X | Internal Medicine - Cardiovascular Disease | E0021551 (New York) | Secondary |
| 207UN0901X | Nuclear Medicine - Nuclear Cardiology | 238355 (New York) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Champlain Valley Physicians Hospital Medical Ctr | Plattsburgh, NY | Hospital |
| Canton-potsdam Hospital | Potsdam, NY | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Massena Hospital Inc | 1456781491 | 44 |
| Champlain Valley Physicians Hospital Medical Center | 2769396878 | 283 |
| Canton-potsdam Hospital | 6204827280 | 199 |
| Entity Name | Champlain Valley Physicians Hospital Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1124189782 PECOS PAC ID: 2769396878 Enrollment ID: O20031121000623 |
| Entity Name | Alice Hyde Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114954682 PECOS PAC ID: 4082525837 Enrollment ID: O20031126000357 |
| Entity Name | Canton-potsdam Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1568548782 PECOS PAC ID: 6204827280 Enrollment ID: O20040519000761 |
| Entity Name | Massena Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1972604460 PECOS PAC ID: 1456781491 Enrollment ID: O20200515000493 |
| Mailing Address | Practice Location Address |
|---|---|
| Nidal Makhoul, MD FACC FACP 52 Tom Miller Road, Plattsburgh, NY 12901-1252 Ph: (518) 563-2404 | Nidal Makhoul, MD FACC FACP 52 Tom Miller Road, Plattsburgh, NY 12901-1252 Ph: (518) 563-2404 |