Individual provider Active NPI

Lisa Benay Kamerling, M.D.

  • Pediatrics Physician
  • Albany, NY
National Provider Identifier
1023015559
Registry record updated May 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
228461 Issued in NY
Practice address
1092 Madison Ave
St. Peter's Health Care for Children
Albany, NY 12208-2248
Phone
(518) 525-2445
Fax
(518) 475-7069
NPI assigned
Jun 30, 2005
Last updated
May 11, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 228461 NY Primary

Addresses

Primary practice location

1092 Madison Ave
St. Peter's Health Care for Children
Albany, NY 12208-2248

Mailing address

PO Box 14890
Albany, NY 12212-4890

Other practice location 1

1240 New Scotland Rd Ste 203
Slingerlands, NY 12159-9222
Phone (518) 478-9423

Other identifiers 1

IdentifierTypeStateIssuer
02440233MedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100916000246 NY Practitioner - Pediatric Medicine 1355466285 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
St. Peter's Hospital of the City of Albany CurrentSince Jul 1, 2010 Accepting new patients
St. Peter's Hospital of the City of Albany CurrentSince Jul 1, 2010 Accepting new patients
St. Peter's Hospital of the City of Albany Pediatrics Current Accepting new patients
St. Peter's Health Partners Medical Associates, P.C. Pediatrics CurrentSince Oct 1, 2020 Accepting new patients
St. Peter's Health Partners Medical Associates, P.C. Pediatrics PastSince Dec 1, 2019 Accepting new patients

Locations

1092 Madison Ave
Albany, NY 12208
Phone (518) 525-1757

315 S Manning Blvd
Albany, NY 12208
Phone (518) 525-1852

326 S Pearl St
Albany, NY 12202
Phone (518) 449-0100

1240 New Scotland Rd
Ste 203
Slingerlands, NY 12159
Phone (518) 439-2460

2 New Hampshire Ave
Troy, NY 12180
Phone (518) 272-0331

Interoperability endpoints

  • Direct secure messaging: lkamerling788303@direct.trinity-health.org

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1120089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620691200000",
    "number": "1023015559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14890",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122124890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1092 MADISON AVE",
            "address_2": "ST. PETER'S HEALTH CARE FOR CHILDREN",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122082248",
            "telephone_number": "518-525-2445",
            "fax_number": "518-475-7069"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1240 New Scotland Rd Ste 203",
            "address_purpose": "LOCATION",
            "city": "Slingerlands",
            "state": "NY",
            "postal_code": "121599222",
            "country_code": "US",
            "telephone_number": "518-478-9423",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAMERLING",
        "first_name": "LISA",
        "middle_name": "BENAY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-30",
        "last_updated": "2021-05-11",
        "certification_date": "2021-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "228461",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02440233",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "payer.credentialing@sphp.com",
            "affiliation": "N",
            "endpointDescription": "SPH Payer Credentialing",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "1092 Madison Ave",
            "address_2": "St. Peter's Health Care for Children",
            "city": "Albany",
            "state": "NY",
            "country_code": "US",
            "postal_code": "122082248",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.