Active NPI
Daniel H. Mead, RPA-C
- Physician Assistant
- Latham, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 007170
- Practice address
- 6 Wellness Way Ste 114
Latham, NY 12110-2156 - Phone
- (518) 785-5881
- Fax
- (518) 785-3872
- NPI assigned
- Jul 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 007170 | NY | Primary |
Addresses
Primary practice location
6 Wellness Way Ste 114
Latham, NY 12110-2156
Mailing address
6 Wellness Way Ste 201
Latham, NY 12110-2156
Phone (518) 782-3700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02044668 | Medicaid | NY |
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
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
6 Wellness Way
Latham, NY 12110-2156
Phone (518) 782-3700
711 Troy Schenectady Rd
Latham, NY 12110-2461
Hospital & facility affiliations
- Eddy Visiting Nurse & Rehab Association
- Community Hospice, Inc, the
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Care Physicians, PC | Current | Accepting new patients |
Locations
711 Troy Schenectady Rd
Ste 203
Latham, NY 12110
Phone (518) 782-3742
6 Wellness Way
Ste 114
Latham, NY 12110
Phone (518) 785-5881
6 Wellness Way
Ste 201
Latham, NY 12110
Phone (518) 782-3900
713 Troy Schenectady Rd
Ste 224
Latham, NY 12110
Phone (518) 785-3614
Interoperability endpoints
- https://ehrlivefhir.corp.communitycare.com/R4/open-R4
Organizations & group practices 2
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
-
- Family Medicine Physician
- Latham, NY
- NPI 1306128509
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Troy, NY
- NPI 1114967924
-
- Community Based Hospice Care Agency
- Albany, NY
- NPI 1588631733
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708300800000",
"number": "1194741454",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 WELLNESS WAY STE 201",
"city": "LATHAM",
"state": "NY",
"postal_code": "121102156",
"telephone_number": "518-782-3700",
"fax_number": "518-782-3799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6 WELLNESS WAY STE 114",
"city": "LATHAM",
"state": "NY",
"postal_code": "121102156",
"telephone_number": "518-785-5881",
"fax_number": "518-785-3872"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MEAD",
"first_name": "DANIEL",
"middle_name": "H.",
"name_prefix": "Mr.",
"credential": "RPA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-13",
"last_updated": "2024-02-19",
"certification_date": "2024-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "007170",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02044668",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Latham, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2024; 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.