Individual provider Active NPI

Brijesh Kumar Tantuwaya, MD

  • Pediatrics Physician
  • Slingerlands, NY
National Provider Identifier
1144355520
Registry record updated Mar 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
242101 Issued in NY
Practice address
1240 New Scotland Rd Ste 203
Slingerlands, NY 12159-9222
Phone
(518) 478-9423
NPI assigned
Feb 23, 2007
Last updated
Mar 11, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2025

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 242101 NY Primary

Addresses

Primary practice location

1240 New Scotland Rd Ste 203
Slingerlands, NY 12159-9222

Mailing address

PO Box 14890
Albany, NY 12212-4890

Other practice location 1

2215 Burdett Ave
Troy, NY 12180-2466
Phone (518) 272-7614

Other practice location 2

326 S Pearl St
Albany, NY 12202-1914
Phone (518) 449-0100

Other identifiers 1

IdentifierTypeStateIssuer
02869487MedicaidNY

Other names 1

  • Brijesh Kumar Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address payer.credentialing@sphp.com Direct

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
I20160929001466 NY Practitioner - Pediatric Medicine 2163719493 Reassigns benefits to 4 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Samaritan Hospital of Troy, New York CurrentSince Jan 1, 2019 Accepting new patients
Ellis Hospital CurrentSince Mar 3, 2024 Accepting new patients
St. Peter's Hospital of the City of Albany CurrentSince Mar 10, 2025 Accepting new patients
St. Peter's Hospital of the City of Albany Pediatrics CurrentSince Mar 10, 2025 Accepting new patients
St. Peter's Health Partners Medical Associates, P.C. Pediatrics CurrentSince May 21, 2023 Accepting new patients
St. Peter's Health Partners Medical Associates, P.C. Pediatrics CurrentSince Jan 1, 2021 Accepting new patients
Nathan Littauer Hospital & Nursing Home Past Accepting new patients

Locations

315 S Manning Blvd
Albany, NY 12208
Phone (518) 525-1852

326 S Pearl St
Albany, NY 12202
Phone (518) 449-0100

1101 Nott St
Schenectady, NY 12308
Phone (518) 243-1916

1240 New Scotland Rd
Ste 203
Slingerlands, NY 12159
Phone (518) 439-2460

147 Hoosick St
Troy, NY 12180
Phone (518) 268-5749

2 New Hampshire Ave
Troy, NY 12180
Phone (518) 272-0331

2215 Burdett Ave
Troy, NY 12180
Phone (518) 271-3300

Interoperability endpoints

  • Direct secure messaging: btantuwaya834714@direct.trinity-health.org

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741651200000",
    "number": "1144355520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14890",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122124890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1240 NEW SCOTLAND RD STE 203",
            "city": "SLINGERLANDS",
            "state": "NY",
            "postal_code": "121599222",
            "telephone_number": "518-478-9423"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2215 Burdett Ave",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "NY",
            "postal_code": "121802466",
            "country_code": "US",
            "telephone_number": "518-272-7614",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "326 S Pearl St",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "NY",
            "postal_code": "122021914",
            "country_code": "US",
            "telephone_number": "518-449-0100",
            "fax_number": "518-463-8580",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TANTUWAYA",
        "first_name": "BRIJESH",
        "middle_name": "KUMAR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-23",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "242101",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02869487",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "payer.credentialing@sphp.com",
            "affiliation": "N",
            "endpointDescription": "SPHP Payer Credentialing",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "1240 New Scotland Rd Ste 203",
            "city": "Slingerlands",
            "state": "NY",
            "country_code": "US",
            "postal_code": "121599222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "BRIJESH",
            "last_name": "KUMAR",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Slingerlands, NY

Sources for this page

Verify at the official NPI Registry.