NPIMap

Individual provider Active NPI

Karin Borrelli, M.D.

  • Family Medicine Physician
  • Ballston Lake, NY
National Provider Identifier
1023079431
Registry record updated Jan 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
237259-1 Issued in NY
Practice address
112 Charlton Rd
Ballston Lake, NY 12019-2547
Phone
(518) 399-7723
Fax
(518) 399-6428
NPI assigned
Mar 28, 2006
Last updated
Jan 29, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2013

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

Specialties & licenses 1

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

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

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

Care Compare profile

Medicare Care Compare
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.CGroup PAC ID 9032438544, 23 clinicians
Saratoga HospitalGroup PAC ID 6406740273, shared by 7 NPIs, 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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
237259-1NYMDFamily Medicine Physician

Practice roles

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

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

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

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

Interoperability endpoints

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

Organizations & group practices 10

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.

Hospital & facility affiliations 24

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

View all 24

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": "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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ballston Lake, NY

Sources for this page

Verify at the official NPI Registry.