Active NPI
Peter Namkoong, M.D.
- Obstetrics & Gynecology Physician
- Albany, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 213838
- Practice address
- 1365 Washington Ave
Suite 201
Albany, NY 12206-1068 - Phone
- (518) 489-4446
- Fax
- (518) 489-4448
- NPI assigned
- Apr 13, 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 |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 213838 | NY | Primary |
Addresses
Primary practice location
1365 Washington Ave
Suite 201
Albany, NY 12206-1068
Mailing address
1365 Washington Ave
Suite 201
Albany, NY 12206-1068
Phone (518) 489-4446
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01956514 | Medicaid | NY | |
| 10030727 | Other | NY | CDPHP PROVIDER # |
| 15901 | Other | NY | MVP PROVIDER # |
| 160055710 | Other | NY | RAILROAD 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
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1365 Washington Ave
Albany, NY 12206-1068
Phone (518) 262-5196
391 Myrtle Ave
Albany, NY 12208-3835
Phone (518) 262-5640
43 New Scotland Ave
Albany, NY 12208-3412
Phone (518) 262-3277
47 New Scotland Ave
Albany, NY 12208-3412
Phone (518) 262-5633
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.78 of 100
- Quality
- 77.53
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.35
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 213838 | NY | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Albany Medical College | Current | Accepting new patients | |
| Albany Medical College | Obstetrics & Gynecology | Current | Accepting new patients |
| Albany Medical College | Obstetrics & Gynecology | Current | Accepting new patients |
| Albany Medical College | Obstetrics & Gynecology | Current | Accepting new patients |
| Albany Medical Center Hospital | Past | Accepting new patients | |
| Albany Medical College | Past | Accepting new patients |
Locations
47 New Scotland Ave
Albany, NY 12208
Phone (518) 262-3773
1365 Washington Ave
Ste 201
Albany, NY 12206
Phone (518) 489-0006
16 New Scotland Ave
Albany, NY 12208
Phone (518) 262-4942
391 Myrtle Ave
Ste 2
Albany, NY 12208
Phone (518) 262-4942
1275 Broadway
#106
Menands, NY 12204
Phone (518) 262-9705
Interoperability endpoints
- pnamkoong27734@albanymed.direct-ci.com
- peternamkoong@uobgynapc.allscriptsdirect.net
Organizations & group practices 6
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.
-
- Allergy & Immunology Physician
- Albany, NY
- NPI 1497921688
Obstetrics & Gynecology
-
- Obstetrics & Gynecology Physician
- Albany, NY
- NPI 1164456067
-
- Urgent Care Clinic/Center
- Albany, NY
- NPI 1386038925
-
- Physical Medicine & Rehabilitation Physician
- Albany, NY
- NPI 1629008537
Obstetrics & Gynecology
-
- General Acute Care Hospital
- Albany, NY
- NPI 1376577247
-
- Allergy & Immunology Physician
- Albany, NY
- NPI 1386689248
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Ambulatory Surgical Clinic/Center
- Niskayana, NY
- NPI 1154973071
Hospital
-
- General Acute Care Hospital
- Albany, NY
- NPI 1376577247
-
- General Acute Care Hospital
- Albany, NY
- NPI 1811917461
-
- General Acute Care Hospital
- Troy, NY
- NPI 1043267727
-
- General Acute Care Hospital
- Albany, NY
- NPI 1497701106
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327968000000",
"number": "1154385649",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1365 WASHINGTON AVE",
"address_2": "SUITE 201",
"city": "ALBANY",
"state": "NY",
"postal_code": "122061068",
"telephone_number": "518-489-4446",
"fax_number": "518-489-4448"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1365 WASHINGTON AVE",
"address_2": "SUITE 201",
"city": "ALBANY",
"state": "NY",
"postal_code": "122061068",
"telephone_number": "518-489-4446",
"fax_number": "518-489-4448"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NAMKOONG",
"first_name": "PETER",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-13",
"last_updated": "2012-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NY",
"license": "213838",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01956514",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CDPHP PROVIDER #",
"identifier": "10030727",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP PROVIDER #",
"identifier": "15901",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "160055710",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Albany, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2012; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.