Individual provider Active NPI

Craig Alan Emblidge, M.D.

  • Family Medicine Physician
  • Glens Falls, NY
National Provider Identifier
1316929193
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
131760 Issued in NY
Practice address
3 Irongate Center
Glens Falls, NY 12801-3471
Phone
(518) 793-4409
Fax
(518) 793-5886
NPI assigned
Nov 16, 2005
Last updated
Aug 24, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2026

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 131760 NY Primary

Addresses

Primary practice location

3 Irongate Center
Glens Falls, NY 12801-3471

Mailing address

3 Irongate Center
Glens Falls, NY 12801-3471
Phone (518) 793-4409

Other identifiers 14

IdentifierTypeStateIssuer
000401107001OtherNYBLUE SHIELD WNY
5155216OtherNYAETNA
021200700170OtherNYFIDELIS
CD1981OtherRAILROAD MEDICARE GROUP #
00020626501OtherNYUNIVERA
000401107001OtherNYBLUE SHIELD NENY
10502264OtherNYCAQH
0022159OtherNYGHI
00417565MedicaidNY
10000575OtherNYCDPHP
08170OtherNYMVP
28D701OtherNYBLUE CROSS BLUE SHIELD
NY0023466OtherNYTRICARE
000000053973OtherNYGHI-HMO

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
I20100907000606 NY Practitioner - Family Practice 9335147750 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
131760NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Irongate Family Practice Associates PLLC Family Medicine CurrentSince Aug 1, 1996 Accepting new patients

Locations

3 Irongate Ctr
Glens Falls, NY 12801
Phone (518) 793-4409

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1132099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787529600000",
    "number": "1316929193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 IRONGATE CENTER",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128013471",
            "telephone_number": "518-793-4409",
            "fax_number": "518-793-5886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 IRONGATE CENTER",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128013471",
            "telephone_number": "518-793-4409",
            "fax_number": "518-793-5886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMBLIDGE",
        "first_name": "CRAIG",
        "middle_name": "ALAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-16",
        "last_updated": "2026-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "131760",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD WNY",
            "identifier": "000401107001",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5155216",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIDELIS",
            "identifier": "021200700170",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP #",
            "identifier": "CD1981",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00020626501",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD NENY",
            "identifier": "000401107001",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "10502264",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "0022159",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00417565",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDPHP",
            "identifier": "10000575",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "08170",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "28D701",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "NY0023466",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI-HMO",
            "identifier": "000000053973",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glens Falls, NY

Sources for this page

Verify at the official NPI Registry.