NPIMap

Karin Borrelli, M.D.

Individual provider Active NPI Family Medicine Physician · Ballston Lake, NY

NPI 1023079431 · NPPES record last updated Jan 29, 2013

Key facts

NPI
1023079431
Entity type
Individual (NPI type 1)
Primary specialty
Family Medicine Physician 207Q00000X
License
237259-1 (NY)
Practice address
112 Charlton Rd
Ballston Lake, NY 12019-2547
Phone
(518) 399-7723
Fax
(518) 399-6428
NPI assigned
Mar 28, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 13

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.

Hospital & facility affiliations 24

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Medicare Care Compare profile

Specialty
Family Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Saratoga Regional Medical , P.C (23 clinicians)
Saratoga Hospital (353 clinicians)

Practice addresses (Care Compare)

15 Maple Dell
Suite 1
Saratoga SPGS, NY 12866-2953
Phone (518) 886-5112

211 Church St
Saratoga Springs, NY 12866-1003
Phone (518) 583-8421

381 Church St
Saratoga Springs, NY 12866-8640
Phone (518) 886-5112

Hospital & facility affiliations

  • Saratoga Hospital Hospital · Saratoga Springs, NY · CCN 330222
  • Albany Medical Center Hospital Hospital · Albany, NY · CCN 330013
  • Ellis Hospital Hospital · Schenectady, NY · CCN 330153

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20051216000160 NY Practitioner - Family Practice 5294756359 Reassigns benefits to 4 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
237259-1NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saratoga Hospital Family Medicine Current
since Mar 16, 2022		 Accepting new patients
Saratoga Regional Medical , P.C Current Accepting new patients
Scotia Glenville Family Medicine, P.C. Family Medicine Current Accepting new patients
Saratoga Hospital Family Medicine Current
since Apr 28, 2024		 Accepting new patients
Saratoga Regional Medical , P.C Current
since Nov 20, 2023		 Accepting new patients
Saratoga Hospital Current Accepting new patients
Saratoga Regional Medical , P.C Current
since Nov 20, 2023		 Accepting new patients
Saratoga Hospital Current Accepting new patients
Saratoga Hospital Current
since Mar 16, 2022		 Accepting new patients
Saratoga Hospital Family Medicine Current
since Apr 28, 2024		 Accepting new patients

Locations

510 Geyser Rd
Ballston Spa, NY 12020
Phone (518) 289-2720

112 Charlton Rd
Charlton, NY 12019
Phone (518) 399-7723

8 Medical Park Dr
Ste 100
Malta, NY 12020
Phone (518) 289-2775

1275 Broadway
#106
Menands, NY 12204
Phone (518) 262-9705

211 Church St
Saratoga Springs, NY 12866
Phone (518) 583-8461

24 Hamilton St
Saratoga Springs, NY 12866
Phone (518) 886-5600

1 West Ave
Ste 300
Saratoga Springs, NY 12866
Phone (518) 693-4699

15 Maple Dell
Ste 1
Saratoga Springs, NY 12866
Phone (518) 583-7400

Interoperability endpoints

  • Direct secure messaging: kborrelli97291@albanymed.direct-ci.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 237259-1 NY Yes

Addresses

Primary practice location

112 Charlton Rd
Ballston Lake, NY 12019-2547

Mailing address

112 Charlton Rd
Ballston Lake, NY 12019-2547
Phone (518) 399-7723

Other identifiers

IdentifierTypeStateIssuer
02691303MedicaidNY

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 29, 2013.

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359417600000",
    "number": "1023079431",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 CHARLTON RD",
            "city": "BALLSTON LAKE",
            "state": "NY",
            "postal_code": "120192547",
            "telephone_number": "518-399-7723",
            "fax_number": "518-399-6428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 CHARLTON RD",
            "city": "BALLSTON LAKE",
            "state": "NY",
            "postal_code": "120192547",
            "telephone_number": "518-399-7723",
            "fax_number": "518-399-6428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BORRELLI",
        "first_name": "KARIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-28",
        "last_updated": "2013-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "237259-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02691303",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ballston Lake, NY

All providers in Ballston Lake, NY · Family Medicine Physician in New York

Sources for this page

Verify at the official NPI Registry.