Individual provider Active NPI

Marcille Labban, M.D.

  • Internal Medicine Physician
  • Glens Falls, NY
National Provider Identifier
1073863403
Registry record updated May 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
290702 Issued in NY
Practice address
100 Park Street
Glens Falls Hospital - Hospitalist Program
Glens Falls, NY 12801
Phone
(518) 926-5925
Fax
(518) 926-5917
NPI assigned
Sep 13, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D0081772 MD
Internal Medicine Physician 207R00000X 290702 NY Primary

Addresses

Primary practice location

100 Park Street
Glens Falls Hospital - Hospitalist Program
Glens Falls, NY 12801

Mailing address

100 Park Street
Glens Falls Hospital - Credentialing
Glens Falls, NY 12801
Phone (518) 926-6992

Other practice location 1

8813 Waltham Woods Rd Ste 204
Parkville, MD 21234-2577
Phone (410) 661-4670

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address marcille.labban@cdirectglensfallshosp.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20170225000134 MD Practitioner - Internal Medicine 1254615917 Reassigns benefits to 1 organization
I20171006000509 NY Practitioner - Internal Medicine 1254615917 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Glens Falls Hospital IncGroup PAC ID 8325955974, 175 clinicians

Practice addresses (Care Compare)

100 Park St
Glens Falls, NY 12801-4413
Phone (518) 926-1000

Hospital & facility affiliations

  • Glens Falls Hospital Hospital, Glens Falls, NY, CCN 330191

Merit-based Incentive Payment System (MIPS)

Final score
88.88 of 100Reported as apm
Quality
71.44
Promoting interoperability
97.95
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
290702NYMDLicensed Practical Nurse
D0081772MDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Glens Falls Hospital Inc. Internal Medicine CurrentSince Sep 1, 2017 Accepting new patients
Maryland Medical First P.a. Internal Medicine CurrentSince Jan 1, 2017 Accepting new patients
Glens Falls Hospital Inc CurrentSince Sep 1, 2017 Accepting new patients
Glens Falls Hospital Inc Past Accepting new patients

Locations

8901 Clement Ave
Parkville, MD 21234
Phone (410) 661-4670

8813 Waltham Woods Rd
Ste 204
Parkville, MD 21234
Phone (410) 661-4670

100 Park St
Glens Falls, NY 12801
Phone (518) 926-5924

79 North St
Granville, NY 12832
Phone (518) 642-0612

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BAFGCA
  • Direct secure messaging: mlabban99796@albanymed.direct-ci.com

Organizations & group practices 4

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": "1347494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652918400000",
    "number": "1073863403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PARK STREET",
            "address_2": "GLENS FALLS HOSPITAL - CREDENTIALING",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "12801",
            "telephone_number": "518-926-6992",
            "fax_number": "518-926-6983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PARK STREET",
            "address_2": "GLENS FALLS HOSPITAL - HOSPITALIST PROGRAM",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "12801",
            "telephone_number": "518-926-5925",
            "fax_number": "518-926-5917"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8813 Waltham Woods Rd Ste 204",
            "address_purpose": "LOCATION",
            "city": "Parkville",
            "state": "MD",
            "postal_code": "212342577",
            "country_code": "US",
            "telephone_number": "410-661-4670",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LABBAN",
        "first_name": "MARCILLE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-13",
        "last_updated": "2022-05-19",
        "certification_date": "2022-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0081772",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "290702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "marcille.labban@cdirectglensfallshosp.org",
            "affiliation": "N",
            "address_1": "100 Park Street",
            "address_2": "Glens Falls Hospital - Hospitalist Program",
            "city": "Glens Falls",
            "state": "NY",
            "country_code": "US",
            "postal_code": "12801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Glens Falls, NY

Sources for this page

Verify at the official NPI Registry.