Individual provider Active NPI

Keith S Nussbaum, D.C.

  • Chiropractor
  • Loudonville, NY
National Provider Identifier
1437192820
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
X005850-1 Issued in NY
Practice address
469 Albany Shaker Rd
Loudonville, NY 12211-1586
Phone
(518) 482-6175
Fax
(518) 459-5134
NPI assigned
Jun 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X005850-1 NY Primary

Addresses

Primary practice location

469 Albany Shaker Rd
Loudonville, NY 12211-1586

Mailing address

124 Glen Hollow Rd
Slingerlands, NY 12159-3718
Phone (518) 573-0644

Other identifiers 2

IdentifierTypeStateIssuer
98L1994OtherNYMVP
10001492OtherNYCDPHP

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080311000248 NY Practitioner - Chiropractic 0749365096 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
New York Chiropractic College, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

130 Everett Rd
Albany, NY 12205-1418
Phone (518) 482-6175

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
X005850-1NYMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Nussbaum Chiropractic PLLC CurrentSince Feb 16, 2019 Accepting new patients

Locations

130 Everett Rd
Albany, NY 12205
Phone (518) 435-1280

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1437192820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 GLEN HOLLOW RD",
            "city": "SLINGERLANDS",
            "state": "NY",
            "postal_code": "121593718",
            "telephone_number": "518-573-0644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "469 ALBANY SHAKER RD",
            "city": "LOUDONVILLE",
            "state": "NY",
            "postal_code": "122111586",
            "telephone_number": "518-482-6175",
            "fax_number": "518-459-5134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUSSBAUM",
        "first_name": "KEITH",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X005850-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "98L1994",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDPHP",
            "identifier": "10001492",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Loudonville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.