Active NPI
Katie Ellen Dunne, PA-C
- Physician Assistant
- Albany, NY
National Provider Identifier
1194177394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 019792
- Practice address
- 391 Myrtle Ave Ste 4a
Albany, NY 12208-3829 - Phone
- (518) 202-2273
- Fax
- (518) 207-2293
- NPI assigned
- Jul 12, 2016
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 019792 | NY | Primary |
Addresses
Primary practice location
391 Myrtle Ave Ste 4a
Albany, NY 12208-3829
Mailing address
711 Troy Schenectady Rd Ste 203
Latham, NY 12110-2461
Phone (518) 782-3700
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Eastern Virginia Medical School, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
20 Prospect St
Ballston Spa, NY 12020-1367
Phone (518) 885-3755
6 Wellness Way
Latham, NY 12110-2156
Phone (518) 782-3700
711 Troy Schenectady Rd
Latham, NY 12110-2461
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saratoga Family Medicine,PLLC | Past | Accepting new patients | |
| Community Care Physicians, PLLC | Past | Accepting new patients |
Interoperability endpoints
- katiedunne@ccp.allscriptsdirect.net
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Latham, NY
- NPI 1922048370
-
- Primary Care Clinic/Center
- Ballston Spa, NY
- NPI 1962527630
-
- Family Medicine Physician
- Ballston Spa, NY
- NPI 1548541246
-
- Family Medicine Physician
- Malta, NY
- NPI 1386730752
Hospital & facility affiliations 18
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Endocrinology, Diabetes & Metabolism Physician
- Gansevoort, NY
- NPI 1033371166
Hospital
-
- General Acute Care Hospital
- Saratoga Springs, NY
- NPI 1073569331
-
- General Acute Care Hospital
- Saratoga Springs, NY
- NPI 1093078560
-
- General Acute Care Hospital
- Saratoga Springs, NY
- NPI 1700120482
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1468281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674691200000",
"number": "1194177394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "711 TROY SCHENECTADY RD STE 203",
"city": "LATHAM",
"state": "NY",
"postal_code": "121102461",
"telephone_number": "518-782-3700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "391 MYRTLE AVE STE 4A",
"city": "ALBANY",
"state": "NY",
"postal_code": "122083829",
"telephone_number": "518-202-2273",
"fax_number": "518-207-2293"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUNNE",
"first_name": "KATIE",
"middle_name": "ELLEN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-12",
"last_updated": "2023-01-26",
"certification_date": "2023-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "019792",
"primary": true
}
],
"identifiers": [],
"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 26, 2023; 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.