Individual provider Active NPI

Anna Grattan Flik, MD

  • Pediatrics Physician
  • Albany, NY
National Provider Identifier
1043200173
Registry record updated Apr 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
218713 Issued in NY
Practice address
1 Clara Barton Dr
Albany, NY 12208-3401
Phone
(518) 262-5588
Fax
(518) 262-5589
NPI assigned
Oct 28, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2012

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 218713 NY Primary

Addresses

Primary practice location

1 Clara Barton Dr
Albany, NY 12208-3401

Mailing address

1 Clara Barton Dr
Albany, NY 12208-3401
Phone (518) 262-5588

Other identifiers 1

IdentifierTypeStateIssuer
02395682MedicaidNY

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
I20050719001009 NY Practitioner - Pediatric Medicine 2062448657 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Albany Medical College Pediatrics Current Accepting new patients
Albany Medical College Pediatrics CurrentSince May 1, 2019 Accepting new patients
Albany Medical College Pediatrics CurrentSince Jul 11, 2010 Accepting new patients
Albany Medical College Current Accepting new patients
Albany Medical College CurrentSince Jul 11, 2010 Accepting new patients

Locations

1 Clara Barton Dr
Albany, NY 12208
Phone (518) 262-5588

391 Myrtle Ave
Albany, NY 12208
Phone (518) 262-5588

47 New Scotland Ave
Albany, NY 12208
Phone (518) 262-3773

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

Interoperability endpoints

  • Direct secure messaging: aflik24532@albanymed.direct-ci.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1130457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334102400000",
    "number": "1043200173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CLARA BARTON DR",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122083401",
            "telephone_number": "518-262-5588",
            "fax_number": "518-262-5589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CLARA BARTON DR",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122083401",
            "telephone_number": "518-262-5588",
            "fax_number": "518-262-5589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLIK",
        "first_name": "ANNA",
        "middle_name": "GRATTAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-28",
        "last_updated": "2012-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "218713",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02395682",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.