Individual provider Active NPI

Christopher M Pawlinga, M.D.

  • Family Medicine Physician
  • Schenectady, NY
National Provider Identifier
1255488342
Registry record updated Dec 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
236500 Issued in NY
Practice address
1667 Elizabeth St
Schenectady, NY 12303-3805
Phone
(518) 356-5377
Fax
(518) 881-1489
NPI assigned
Jan 4, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 23, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 236500 NY Primary

Addresses

Primary practice location

1667 Elizabeth St
Schenectady, NY 12303-3805

Mailing address

1667 Elizabeth St
Schenectady, NY 12303-3805
Phone (518) 356-5377

Other identifiers 5

IdentifierTypeStateIssuer
02685990MedicaidNY
131001000109OtherNYFIDELIS
7372689OtherNYAETNA
702232OtherNYGHI/HMO
7348A1OtherNYEMPIRE BLUECROSS BLUESHIELD

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
I20051005000406 NY Practitioner - Family Practice 8224063227 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Director Services PC CurrentSince Oct 4, 2017 Accepting new patients
Sun Medical Care PC Family Medicine CurrentSince Aug 1, 2012 Accepting new patients
Union Street Family Medicine, LLC Family Medicine CurrentSince Oct 17, 2005 Accepting new patients

Locations

526 Altamont Ave
Schenectady, NY 12303
Phone (518) 346-6121

463 Saratoga Rd
Scotia, NY 12302
Phone (518) 399-2233

49 Marvin Ave
Troy, NY 12180
Phone (518) 272-6717

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387756800000",
    "number": "1255488342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1667 ELIZABETH ST",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123033805",
            "telephone_number": "518-356-5377",
            "fax_number": "518-881-1489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1667 ELIZABETH ST",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123033805",
            "telephone_number": "518-356-5377",
            "fax_number": "518-881-1489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAWLINGA",
        "first_name": "CHRISTOPHER",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-04",
        "last_updated": "2013-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "236500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02685990",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIDELIS",
            "identifier": "131001000109",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7372689",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI/HMO",
            "identifier": "702232",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BLUECROSS BLUESHIELD",
            "identifier": "7348A1",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Schenectady, NY

Sources for this page

Verify at the official NPI Registry.