Individual provider Active NPI

Peter Namkoong, M.D.

  • Obstetrics & Gynecology Physician
  • Albany, NY
National Provider Identifier
1154385649
Registry record updated Jan 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
213838 Issued in NY
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

Updated by the provider on Jan 31, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
01956514MedicaidNY
10030727OtherNYCDPHP PROVIDER #
15901OtherNYMVP PROVIDER #
160055710OtherNYRAILROAD 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100804000794 NY Practitioner - Obstetrics/Gynecology 5092873711 Reassigns benefits to 1 organization

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
Albany Medical CollegeGroup PAC ID 1759293111, 1,054 clinicians

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 100Reported as group
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

LicenseStateTypeSpecialty
213838NYMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Albany Medical College CurrentSince Nov 13, 2023 Accepting new patients
Albany Medical College Obstetrics & Gynecology CurrentSince Nov 13, 2023 Accepting new patients
Albany Medical College Obstetrics & Gynecology CurrentSince Nov 13, 2023 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

  • Direct secure messaging: pnamkoong27734@albanymed.direct-ci.com
  • Direct secure messaging: 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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.