Active NPI
Barry Mitchell, MD
- Emergency Medicine Physician
- Saratoga Springs, NY
National Provider Identifier
1124055439
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 143222
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01256500 | Medicaid | NY | |
| CC6612 | Other | NY | MEDICARE |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 143222 | NY | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saratoga Hospital | Current | Accepting new patients | |
| Saratoga Hospital | Current | Accepting new patients | |
| Saratoga Hospital | Current | Accepting new patients | |
| Healthcare Partners of Saratoga LTD | Current | Accepting new patients | |
| Saratoga Hospital | Current | Accepting new patients | |
| Saratoga Hospital | Current | 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.
-
- Urgent Care Clinic/Center
- Malta, NY
- NPI 1700159613
-
- Endocrinology, Diabetes & Metabolism Physician
- Gansevoort, NY
- NPI 1033371166
-
- Community/Retail Pharmacy
- Saratoga Springs, NY
- NPI 1164148110
-
- Primary Care Clinic/Center
- Ballston Spa, NY
- NPI 1386067601
-
- Family Medicine Physician
- Saratoga Springs, NY
- NPI 1629415740
-
- Pain Medicine Physician
- Saratoga Springs, NY
- NPI 1790941359
-
- Urgent Care Clinic/Center
- Saratoga Springs, NY
- NPI 1942358825
-
- Emergency Medicine Physician
- Schenectady, NY
- NPI 1003844606
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.