Individual provider Active NPI

Robert M Rattner, MD

  • Emergency Medicine Physician
  • Schenectady, NY
National Provider Identifier
1295768141
Registry record updated Nov 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
180400-1 Issued in NY
Practice address
600 McClellan St
@ St. Clare'S Hospital ER Dept.
Schenectady, NY 12304-1009
Phone
(518) 383-5450
Fax
(518) 383-4223
NPI assigned
Jul 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 180400-1 NY Primary

Addresses

Primary practice location

600 McClellan St
@ St. Clare'S Hospital ER Dept.
Schenectady, NY 12304-1009

Mailing address

229 Menlo Park Rd
Niskayuna, NY 12309-6705
Phone (518) 372-4596

Other identifiers 1

IdentifierTypeStateIssuer
01170727MedicaidNY

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
I20050325000225 NY Practitioner - Emergency MedicinePractitioner - General Practice 9335195098 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
180400-1NYMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ellis Hospital Emergency Medicine CurrentSince Jan 1, 2008 Accepting new patients
Ellis Hospital Emergency Medicine CurrentSince Jan 1, 2008 Accepting new patients
Capital District Orthotic Group Past Accepting new patients
Capital District Orthotic Group Past Accepting new patients
Provident Emergency Medicine Associates, PC Emergency Medicine Past Accepting new patients

Locations

200 Harborside Dr
Schenectady, NY 12305
Phone (518) 881-4470

1101 Nott St
Schenectady, NY 12308
Phone (518) 243-1916

624 McClellan St
Ste G05
Schenectady, NY 12304
Phone (518) 347-5113

600 McClellan St
Schenectady, NY 12304
Phone (518) 382-2000

Organizations & group practices 5

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": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194220800000",
    "number": "1295768141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 MENLO PARK RD",
            "city": "NISKAYUNA",
            "state": "NY",
            "postal_code": "123096705",
            "telephone_number": "518-372-4596"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 MCCLELLAN ST",
            "address_2": "@ ST. CLARE'S HOSPITAL ER DEPT.",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123041009",
            "telephone_number": "518-383-5450",
            "fax_number": "518-383-4223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RATTNER",
        "first_name": "ROBERT",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2007-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "180400-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01170727",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Schenectady, NY

Sources for this page

Verify at the official NPI Registry.