Individual provider

Marc Immerman, M.D.

General Practice Physician Emergency Medicine Physician Medicare enrolled

Marc Immerman, M.D. is a General Practice Physician in Elmira, NY, registered under NPI 1417967712. This provider registers 2 separate taxonomy codes, which usually means they practise across more than one recognised specialty.

Getting there

The practice address on file is 1003 WALNUT ST, Elmira, NY 14901. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

1003 WALNUT ST, Elmira, NY 14901 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
174214 NY General Practice Physician primary
174214 NY Emergency Medicine Physician

This provider holds licence 174214 issued in NY. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Family Practice
PAC ID
4183656077
Enrollment ID
I20050831000185

Medicare enrolment is recorded as approved under the provider type Practitioner - Family Practice. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What General Practice covers

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. NUCC Health Care Provider Taxonomy, code 208D00000X
Allopathic & Osteopathic Physicians General Practice

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
208D00000X General Practice Physician 174214 NY primary
207P00000X Emergency Medicine Physician 174214 NY

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1417967712 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateAug 9, 2006
Last updatedFeb 6, 2018
StatusActive
Sole proprietorNo
CredentialM.D.
Practice address 1003 WALNUT ST
Elmira, NY 14901
(607) 732-5646
Fax (607) 732-0373
Other identifiers 000915192004 · Other (NY)
01144467 · Medicaid (NY)
This record was last updated on Feb 6, 2018, roughly 8 years ago. Address and phone details that old are frequently out of date. Verify by phone before travelling to the address shown.

Number check

1417967712 passes the NPI check digit test The final digit 2 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 4 1 7 9 6 7 7 1
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 4 2 7 9 6 5 7 2

Sum = 68 · next multiple of 10 = 70 · check digit = 2 · actual last digit = 2

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1417967712?
NPI 1417967712 is the National Provider Identifier assigned to Marc Immerman, M.D. in Elmira, NY. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does General Practice Physician cover?
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
How do I contact Marc Immerman, M.D.?
The phone number on file with NPPES is (607) 732-5646, last updated Feb 6, 2018. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does Marc Immerman, M.D. accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1417967712 a valid number?
Yes. 1417967712 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.