Individual provider Active NPI

Barry Mitchell, MD

  • Emergency Medicine Physician
  • Saratoga Springs, NY
National Provider Identifier
1124055439
Registry record updated Jun 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
143222 Issued in NY
Practice address
211 Church St
Saratoga Springs, NY 12866
Phone
(518) 587-1141
NPI assigned
Jun 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 143222 NY Primary

Addresses

Primary practice location

211 Church St
Saratoga Springs, NY 12866

Mailing address

454 Maple Ave
Saratoga Springs, NY 12866
Phone (518) 587-1141

Other identifiers 2

IdentifierTypeStateIssuer
01256500MedicaidNY
CC6612OtherNYMEDICARE

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
I20051206000125 NY Practitioner - Emergency MedicinePractitioner - Plastic and Reconstructive Surgery 3678593621 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
143222NYMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saratoga Hospital Current Accepting new patients
Saratoga Hospital CurrentSince Aug 1, 2013 Accepting new patients
Saratoga Hospital Current Accepting new patients
Healthcare Partners of Saratoga LTD CurrentSince Jun 2, 2018 Accepting new patients
Saratoga Hospital Current Accepting new patients
Saratoga Hospital CurrentSince Aug 1, 2013 Accepting new patients
Saratoga Hospital Current Accepting new patients
Northeast Emergency Medical Associates, PC Emergency Medicine Past Accepting new patients

Locations

6 Medical Park Dr
Malta, NY 12020
Phone (518) 289-2020

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

3040 Route 50
Saratoga Springs, NY 12866
Phone (518) 580-2170

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.

NPI Registry JSON

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529366400000",
    "number": "1124055439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "454 MAPLE AVE",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "12866",
            "telephone_number": "518-587-1141",
            "fax_number": "518-587-1152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 CHURCH ST",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "12866",
            "telephone_number": "518-587-1141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "BARRY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-26",
        "last_updated": "2018-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "143222",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01256500",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "CC6612",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saratoga Springs, NY

Sources for this page

Verify at the official NPI Registry.