NPIMap

Individual provider Active NPI

Susan Dorsey

  • Internal Medicine Physician
  • Saratoga Springs, NY
National Provider Identifier
1386733764
Registry record updated Feb 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
181790 Issued in NY
Practice address
1 West Ave
Suite 330
Saratoga Springs, NY 12866-6045
Phone
(518) 584-5390
NPI assigned
Oct 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 181790 NY Primary

Addresses

Primary practice location

1 West Ave
Suite 330
Saratoga Springs, NY 12866-6045

Mailing address

711 Troy Schenectady Rd
Suite 201
Latham, NY 12110-2442

Other identifiers 1

IdentifierTypeStateIssuer
01192396MedicaidNY

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
I20080212000048 NY Practitioner - Internal Medicine 6800979006 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
New York University School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Community Care Physicians PLLCGroup PAC ID 8022904473, 361 clinicians

Practice addresses (Care Compare)

1 W Ave
Suite 330
Saratoga Springs, NY 12866-6065
Phone (518) 584-5330

6 Wellness Way
Latham, NY 12110-2156
Phone (518) 782-3700

711 Troy Schenectady Rd
Latham, NY 12110-2461

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Ballston Lake, NY, CCN 337401
  • Vna Home Health Home health agency, Albany, NY, CCN 337019
  • Marquis Certified Home Care, LLC Home health agency, Albany, NY, CCN 337418
  • Eddy Visiting Nurse & Rehab Association Home health agency, Troy, NY, CCN 337203
  • 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
  • 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 Medicine

State licenses

LicenseStateTypeSpecialty
181790NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Care Physicians, PLLC Internal Medicine CurrentSince Apr 1, 1997 Accepting new patients
Community Care Physicians, PC Internal Medicine Past Accepting new patients
Community Care Physicians, PC Internal Medicine Past Accepting new patients

Locations

711 Troy Schenectady Rd
Ste 201
Latham, NY 12110

6 Wellness Way
Ste 201
Latham, NY 12110
Phone (518) 782-3900

711 Troy Schenectady Rd
Ste 210
Latham, NY 12110

711 Troy Schenectady Rd
Ste 203
Latham, NY 12110
Phone (518) 782-3742

1 West Ave
Ste 330
Saratoga Springs, NY 12866
Phone (518) 584-5330

Organizations & group practices 3

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 27

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

View all 27

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203465600000",
    "number": "1386733764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 TROY SCHENECTADY RD",
            "address_2": "SUITE 201",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121102442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WEST AVE",
            "address_2": "SUITE 330",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128666045",
            "telephone_number": "518-584-5390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORSEY",
        "first_name": "SUSAN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2008-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "181790",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01192396",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saratoga Springs, NY

Sources for this page

Verify at the official NPI Registry.