Active NPI
Steven J Balsamo, DO
- Family Medicine Physician
- Clifton Park, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 170908
- Practice address
- 1 Tallow Wood Dr
Clifton Park, NY 12065-2807 - Phone
- (518) 373-4500
- Fax
- (518) 371-7811
- NPI assigned
- Mar 28, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 170908 | NY | Primary |
Addresses
Primary practice location
1 Tallow Wood Dr
Clifton Park, NY 12065-2807
Mailing address
PO Box 689
Troy, NY 12181-0689
Phone (518) 268-5000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01398287 | Medicaid | NY |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | payer.credentialing@sphp.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100911000054 | NY | Practitioner - Family Practice | 5496870602 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of New England, College of Osteo Medicine, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Samaritan Hospital of Troy, New York
Practice addresses (Care Compare)
1 Tallow Wood Dr
Clifton Park, NY 12065-2807
Phone (518) 688-0295
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 170908 | NY | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Samaritan Hospital of Troy, New York | Family Medicine | Current | Accepting new patients |
Locations
1 Tallow Wood Dr
Clifton Park, NY 12065
Phone (518) 373-4444
713 Troy Schenectady Rd
Ste 304
Latham, NY 12110
Phone (518) 373-4448
2 Empire Dr
Ste 202
Rensselaer, NY 12144
Phone (518) 286-4990
147 Hoosick St
Troy, NY 12180
Phone (518) 268-5749
2215 Burdett Ave
Troy, NY 12180
Phone (518) 271-3300
Interoperability endpoints
- sbalsamo834468@direct.trinity-health.org
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Troy, NY
- NPI 1043267727
Family Medicine, NY
-
- Psychiatric Hospital Unit
- Troy, NY
- NPI 1861437832
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620259200000",
"number": "1013977438",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 689",
"city": "TROY",
"state": "NY",
"postal_code": "121810689",
"telephone_number": "518-268-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 TALLOW WOOD DR",
"city": "CLIFTON PARK",
"state": "NY",
"postal_code": "120652807",
"telephone_number": "518-373-4500",
"fax_number": "518-371-7811"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BALSAMO",
"first_name": "STEVEN",
"middle_name": "J",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-28",
"last_updated": "2021-05-06",
"certification_date": "2021-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "170908",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01398287",
"state": "NY"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "payer.credentialing@sphp.com",
"affiliation": "N",
"endpointDescription": "SPHP- Payer Credentialing",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCD",
"address_1": "1 Tallow Wood Dr",
"city": "Clifton Park",
"state": "NY",
"country_code": "US",
"postal_code": "120652807",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Clifton Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.