NPIMap

Individual provider Active NPI

Kristin Ambler, M.D.

  • Internal Medicine Physician
  • Plattsburgh, NY
National Provider Identifier
1407937485
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
172098 Issued in NY
Practice address
128 Boynton Ave
Plattsburgh, NY 12901-1237
Phone
(518) 324-3399
Fax
(518) 324-3396
NPI assigned
Oct 18, 2006
Last updated
Jul 9, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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 172098 NY Primary

Addresses

Primary practice location

128 Boynton Ave
Plattsburgh, NY 12901-1237

Mailing address

128 Boynton Ave
Plattsburgh, NY 12901-1237
Phone (518) 324-3399

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
I20041018000798 NY Practitioner - Internal Medicine 4688634256 Receives reassigned benefits from 12 practitioners
Practice locations: Plattsburgh, NY

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
New York Medical College, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

128 Boynton Ave
Plattsburgh, NY 12901-1237
Phone (518) 324-3399

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Frederick Health Hospital Inc Past Accepting new patients

Practitioners & affiliated clinicians

Practitioners 12

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.

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.

Hospital & facility affiliations 11

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

NPI Registry JSON

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1407937485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 BOYNTON AVE",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129011237",
            "telephone_number": "518-324-3399",
            "fax_number": "518-324-3396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 BOYNTON AVE",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129011237",
            "telephone_number": "518-324-3399",
            "fax_number": "518-324-3396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMBLER",
        "first_name": "KRISTIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-18",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "172098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plattsburgh, NY

Sources for this page

Verify at the official NPI Registry.