Kristen Hedger Martin, M.D.
Individual provider Active NPI Family Medicine Physician · Charlton, NY
NPI 1386663003 · NPPES record last updated Jan 18, 2018
Key facts
- NPI
- 1386663003
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 231262 (NY)
- Practice address
- 286 Stage Rd
Charlton, NY 12019-2619 - Phone
- (518) 399-2101
- Fax
- (518) 399-2130
- NPI assigned
- Jul 19, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 21
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Community Care Physicians PLLC
Practice addresses (Care Compare)
286 Stage Rd
Charlton, NY 12019-2618
Phone (518) 399-2101
Hospital & facility affiliations
- Community Hospice, Inc, the
- Ellis Hospital
- Sunnyview Hospital and Rehabilitation Center
- Saratoga Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040824000552 | NY | Practitioner - Family Practice | 8628042769 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Care Physicians, PLLC | Family Medicine | Current |
Accepting new patients |
| Community Care Physicians, PLLC | Family Medicine | Past | Accepting new patients |
Locations
501 New Karner Rd
Ste 1A
Albany, NY 12205
Phone (518) 452-1337
20 Prospect St
Ste 106
Ballston Spa, NY 12020
Phone (518) 855-3755
286 Stage Rd
Charlton, NY 12019
Phone (518) 399-2101
711 Troy Schenectady Rd
Ste 203
Latham, NY 12110
Phone (518) 782-3742
711 Troy Schenectady Rd
Ste 210
Latham, NY 12110
6 Wellness Way
Ste 201
Latham, NY 12110
Phone (518) 782-3900
3732 Carman Rd
Schenectady, NY 12303
Phone (518) 356-4132
Interoperability endpoints
- kristenmartin@ccp.allscriptsdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 231262 | NY | Yes |
Addresses
Primary practice location
286 Stage Rd
Charlton, NY 12019-2619
Mailing address
711 Troy Schenectady Rd Ste 203
Latham, NY 12110-2461
Phone (518) 782-3700
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000416463001 | Other | NY | BSNENY |
| 10084510 | Other | NY | CDPHP |
| 7415613 | Other | NY | AETNA |
| 371498 | Other | NY | MVP |
| 81879 | Other | NY | GHI/HMO |
| 02563275 | Medicaid | NY | |
| 070216000062 | Other | NY | FIDELIS |
| 1864R1 | Other | NY | EMPIRE BC |
| 200100 | Other | NY | SENIOR WHOLE HEALTH |
Other providers in Charlton, NY
- Paul J Gauthier Sr.
- Mary Hoey
- Philip Raymond Hunter
- Megan James
- Marci Lansing
- Colin Patrick Meagher
- David Millard Phelps
- Holly Wasniewski
- Lacey M Weller
All providers in Charlton, NY · Family Medicine Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 18, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.