Individual provider Active NPI

Craig Edward Todd, M.D.

  • Emergency Medicine Physician
  • Schenectady, NY
National Provider Identifier
1033170873
Registry record updated Jun 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
226994 Issued in NY
Practice address
600 McClellan St
Schenectady, NY 12304-1009
Phone
(518) 382-2222
Fax
(518) 347-5511
NPI assigned
Mar 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 226994 NY Primary
Family Medicine Physician 207Q00000X 226994 NY

Addresses

Primary practice location

600 McClellan St
Schenectady, NY 12304-1009

Mailing address

5 Lavant LN
Burnt Hills, NY 12027-9453
Phone (518) 399-4438

Other identifiers 1

IdentifierTypeStateIssuer
02385977MedicaidNY

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
I20040414001841 NY Practitioner - Emergency MedicinePractitioner - Family Practice 7012902646 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Family Practice
Education
State University of New York at Stony Brook, School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Upstate Ny Physician PLLCGroup PAC ID 4183164148, 14 clinicians
St. Mary'S HealthcareGroup PAC ID 7618960709, 114 clinicians

Practice addresses (Care Compare)

427 Guy Park Ave
Amsterdam, NY 12010-1064
Phone (518) 842-1900

4950 State Hwy 30
Amsterdam, NY 12010-7520
Phone (518) 770-7557

Hospital & facility affiliations

  • St Marys Healthcare Hospital, Amsterdam, NY, CCN 330047

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wajeeh Sana Physician PC Emergency Medicine CurrentSince Mar 6, 2024 Accepting new patients
St. Mary'S Healthcare CurrentSince Oct 1, 2014 Accepting new patients
St Marys Healthcare CurrentSince Oct 1, 2014 Accepting new patients
Emergency Physician Services of New York, P.C. Emergency Medicine CurrentSince Oct 1, 2007 Accepting new patients
Gloversville Emergency Medicine Services PC Emergency Medicine CurrentSince Mar 21, 2013 Accepting new patients
Upstate Ny Physician PLLC Emergency Medicine CurrentSince Sep 1, 2024 Accepting new patients
Carondelet Regional Medical, PC Family Medicine CurrentSince Jul 1, 2018 Accepting new patients
Provident Emergency Medicine Associates, PC Emergency Medicine Past Accepting new patients

Locations

4950 State Highway 30
Amsterdam, NY 12010
Phone (518) 770-7557

427 Guy Park Ave
Amsterdam, NY 12010
Phone (518) 442-1404

380 Guy Park Ave
Amsterdam, NY 12010
Phone (518) 841-7415

380 Guy Park Ave
Ste 2
Amsterdam, NY 12010
Phone (518) 770-7581

4988 State Highway 30
Amsterdam, NY 12010
Phone (518) 842-3100

84 E State St
Gloversville, NY 12078
Phone (518) 332-4336

99 E State St
Gloversville, NY 12078
Phone (518) 773-5690

7 Timmerman Ave
St Johnsville, NY 13452
Phone (518) 568-5037

2209 Genesee St
Utica, NY 13501
Phone (315) 798-8100

Organizations & group practices 8

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 1

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

NPI Registry JSON

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213228800000",
    "number": "1033170873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 LAVANT LN",
            "city": "BURNT HILLS",
            "state": "NY",
            "postal_code": "120279453",
            "telephone_number": "518-399-4438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 MCCLELLAN ST",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123041009",
            "telephone_number": "518-382-2222",
            "fax_number": "518-347-5511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TODD",
        "first_name": "CRAIG",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-31",
        "last_updated": "2008-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "226994",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "226994",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02385977",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Schenectady, NY

Sources for this page

Verify at the official NPI Registry.