NPIMap

Organization Active NPI

Sand Creek Medical PC

  • Specialist
  • Albany, NY
National Provider Identifier
1275624900
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
115905 Issued in NY
Legal business name
SAND CREEK MEDICAL PC
Practice address
116 Everett Rd
Albany, NY 12205-1427
Phone
(518) 437-1200
NPI assigned
Sep 27, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Basavaraja Orekondy, MD
Title
President
Phone
(518) 437-1200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 115905 NY Primary

Addresses

Primary practice location

116 Everett Rd
Albany, NY 12205-1427

Mailing address

116 Everett Rd
Albany, NY 12205-1427

National Provider Directory

National Provider Directory

Locations

116 Everett Rd
Albany, NY 12205
Phone (518) 437-1200

Practitioners & affiliated clinicians

Practitioners 45

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 45

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275624900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 EVERETT RD",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122051427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 EVERETT RD",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122051427",
            "telephone_number": "518-437-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAND CREEK MEDICAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "OREKONDY",
        "authorized_official_first_name": "BASAVARAJA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "518-437-1200",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "115905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.