NPIMap

Individual provider Active NPI

Daniel J Eldredge, DO

  • Family Medicine Physician
  • Saratoga Springs, NY
National Provider Identifier
1255520946
Registry record updated Feb 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
233792 Issued in NY
Practice address
3044 Route 50
Saratoga Springs, NY 12866-2906
Phone
(518) 886-5800
Fax
(518) 886-5805
NPI assigned
Oct 18, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2015

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 233792 NY Primary

Addresses

Primary practice location

3044 Route 50
Saratoga Springs, NY 12866-2906

Mailing address

3044 Route 50
Saratoga Springs, NY 12866-2906
Phone (518) 886-5800

Other identifiers 1

IdentifierTypeStateIssuer
02956316MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071228000382 NY Practitioner - Family Practice 5294815478 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
New York College of Osteo Medicine of New York Institute of Technology, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saratoga HospitalGroup PAC ID 6406740273, shared by 7 NPIs, 353 clinicians

Practice addresses (Care Compare)

211 Church St
Saratoga Springs, NY 12866-1003
Phone (518) 583-8421

Hospital & facility affiliations

  • Vna Home Health Home health agency, Albany, NY, CCN 337019
  • Community Hospice, Inc, the Hospice, Albany, NY, CCN 331501
  • Saratoga Hospital Hospital, Saratoga Springs, NY, CCN 330222
  • Glens Falls Hospital Hospital, Glens Falls, NY, CCN 330191
  • Albany Medical Center Hospital Hospital, Albany, NY, CCN 330013
  • Wesley Health Care Center Inc Nursing home, Saratoga Springs, NY, CCN 335394

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
233792NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saratoga Hospital Family Medicine Current Accepting new patients
Saratoga Hospital Family Medicine CurrentSince Dec 4, 2015 Accepting new patients
Saratoga Hospital Current Accepting new patients
Saratoga Hospital CurrentSince Jan 1, 2011 Accepting new patients
Saratoga Hospital Current Accepting new patients
Saratoga Hospital Current Accepting new patients
Saratoga Hospital CurrentSince Jan 1, 2011 Accepting new patients
Saratoga Emergency Physicians, PC Past Accepting new patients

Locations

510 Geyser Rd
Ballston Spa, NY 12020
Phone (518) 289-2720

211 Church St
Saratoga Springs, NY 12866
Phone (518) 583-8461

1 West Ave
Ste 300
Saratoga Springs, NY 12866
Phone (518) 693-4699

3044 Route 50
Saratoga Springs, NY 12866
Phone (518) 886-5800

Interoperability endpoints

  • Direct secure messaging: deldredge97909@albanymed.direct-ci.com

Organizations & group practices 8

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.

Hospital & facility affiliations 28

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1192665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424736000000",
    "number": "1255520946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3044 ROUTE 50",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128662906",
            "telephone_number": "518-886-5800",
            "fax_number": "518-886-5805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3044 ROUTE 50",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128662906",
            "telephone_number": "518-886-5800",
            "fax_number": "518-886-5805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELDREDGE",
        "first_name": "DANIEL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-18",
        "last_updated": "2015-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "233792",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02956316",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saratoga Springs, NY

Sources for this page

Verify at the official NPI Registry.