Individual provider Active NPI

Proshanta Saha, MD

  • Pediatrics Physician
  • Amsterdam, NY
National Provider Identifier
1083771463
Registry record updated Mar 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
121785 Issued in NY
Practice address
4988 State Hwy 30
1St Floor
Amsterdam, NY 12010-4614
Phone
(518) 842-3545
NPI assigned
Jan 3, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2013

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 121785 NY Primary

Addresses

Primary practice location

4988 State Hwy 30
1St Floor
Amsterdam, NY 12010-4614

Mailing address

4988 State Hwy 30
1St Floor
Amsterdam, NY 12010-4614
Phone (518) 842-3545

Other identifiers 1

IdentifierTypeStateIssuer
00515522MedicaidNY

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
I20110617000025 NY Practitioner - Pediatric Medicine 8628256856 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
121785NYMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Mary's Healthcare CurrentSince Jun 15, 2011 Accepting new patients
St Marys Healthcare CurrentSince Jun 15, 2011 Accepting new patients
St. Mary's Healthcare Pediatrics Past Accepting new patients

Locations

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

4988 State Highway 30
Fl 1
Amsterdam, NY 12010
Phone (518) 841-3565

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

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

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

Organizations & group practices 3

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": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364428800000",
    "number": "1083771463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4988 STATE HWY 30",
            "address_2": "1ST FLOOR",
            "city": "AMSTERDAM",
            "state": "NY",
            "postal_code": "120104614",
            "telephone_number": "518-842-3545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4988 STATE HWY 30",
            "address_2": "1ST FLOOR",
            "city": "AMSTERDAM",
            "state": "NY",
            "postal_code": "120104614",
            "telephone_number": "518-842-3545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAHA",
        "first_name": "PROSHANTA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-03",
        "last_updated": "2013-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "121785",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00515522",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Amsterdam, NY

Sources for this page

Verify at the official NPI Registry.