Active NPI
Breanna Macleod, PA
- Physician Assistant
- Halfmoon, NY
National Provider Identifier
1215712955
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 030364
- Practice address
- 1783 Route 9 Ste 204
Halfmoon, NY 12065-2466 - Phone
- (518) 371-9355
- NPI assigned
- Aug 30, 2023
- 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 | 030364 | NY | Primary |
Addresses
Primary practice location
1783 Route 9 Ste 204
Halfmoon, NY 12065-2466
Mailing address
123 Everett Rd
Latham, NY 12110-2461
Phone (518) 701-2085
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, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
123 Everett Rd
Albany, NY 12205-1407
Phone (518) 701-2000
1785 Route 9
Suite 201
Halfmoon, NY 12065-2449
Phone (518) 701-2075
Hospital & facility affiliations
- Saratoga Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 030364 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Care Physicians, PC | Past | Accepting new patients |
Interoperability endpoints
- breanna.tahany.p1@direct.aent.nextgenshare.com
Organizations & group practices 3
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.
-
- Otolaryngology Physician
- Albany, NY
- NPI 1205838729
-
- Internal Medicine Physician
- Latham, NY
- NPI 1922048370
-
- Family Medicine Physician
- Halfmoon, NY
- NPI 1770867103
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": "1693353600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787097600000",
"number": "1215712955",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "123 EVERETT RD",
"city": "LATHAM",
"state": "NY",
"postal_code": "121102461",
"telephone_number": "518-701-2085",
"fax_number": "518-701-2020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1783 ROUTE 9 STE 204",
"city": "HALFMOON",
"state": "NY",
"postal_code": "120652466",
"telephone_number": "518-371-9355"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MACLEOD",
"first_name": "BREANNA",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-30",
"last_updated": "2026-08-19",
"certification_date": "2026-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "030364",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Halfmoon, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2026; 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.