Individual provider Active NPI

Krishankumar S Patel, DPM

  • Podiatrist
  • Albany, NY
National Provider Identifier
1205403409
Registry record updated Nov 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
007427 Issued in NY
Practice address
302A Washington Avenue Ext
Albany, NY 12203-7303
Phone
(518) 482-4321
Fax
(518) 482-4664
NPI assigned
Jun 7, 2021
Last updated
Nov 25, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 007427 NY Primary

Addresses

Primary practice location

302A Washington Avenue Ext
Albany, NY 12203-7303

Mailing address

302A Washington Avenue Ext
Albany, NY 12203-7303
Phone (518) 482-4321

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241213001714 NY Practitioner - Podiatry 7214463280 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mark Brian Friedman DPM PLLCGroup PAC ID 9830200856, 4 clinicians

Practice addresses (Care Compare)

302 A Washington Ave Ext
Albany, NY 12203-7303
Phone 5184824321120

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue85
Removal of skin lesions79
Removal of nail tissue604
Removal or shaving of skin growth511
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Mark Brian Friedman, DPM, PLLC Podiatrist CurrentSince Nov 1, 2024 Accepting new patients
Mark Brian Friedman, DPM, PLLC Podiatrist Past Accepting new patients

Locations

302A Washington Avenue Ext
Albany, NY 12203
Phone (518) 482-4321

6 Executive Park Dr
Stuyvesant Plaza, NY 12203
Phone (518) 482-9111

Interoperability endpoints

  • Direct secure messaging: patelk@albanypodiatry.medentdirect.com

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, 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": "1623024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732492800000",
    "number": "1205403409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302A WASHINGTON AVENUE EXT",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122037303",
            "telephone_number": "518-482-4321",
            "fax_number": "518-482-4664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302A WASHINGTON AVENUE EXT",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122037303",
            "telephone_number": "518-482-4321",
            "fax_number": "518-482-4664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "KRISHANKUMAR",
        "middle_name": "S",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-06-07",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "007427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.