NPIMap

Individual provider Active NPI

Patricia Merritt, M.D.

  • Family Medicine Physician
  • Schenectady, NY
National Provider Identifier
1457326399
Registry record updated Jan 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
191324 Issued in NY
Practice address
3040 Broadway
Schenectady, NY 12306-2102
Phone
(518) 357-2011
Fax
(518) 357-2330
NPI assigned
Feb 22, 2006
Last updated
Jan 18, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2023

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 191324 NY Primary

Addresses

Primary practice location

3040 Broadway
Schenectady, NY 12306-2102

Mailing address

3040 Broadway
Schenectady, NY 12306-2102
Phone (518) 357-2011

Other identifiers 2

IdentifierTypeStateIssuer
01493558MedicaidNY
080135605OtherNYRAILROAD MEDICARE

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
I20100813000035 NY Practitioner - Family PracticePractitioner - Obstetrics/Gynecology 9739213786 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Obstetrics/Gynecology
Education
State University of Ny Upstate Medical University, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3040 Broadway
Schenectady, NY 12306-2102
Phone (518) 357-2011

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Huddle Health Medicine PLLC Family Medicine Current Accepting new patients
Huddle Health Medicine PLLC Family Medicine CurrentSince Aug 31, 2022 Accepting new patients

Locations

3040 Broadway
Schenectady, NY 12306
Phone (518) 352-2011

Interoperability endpoints

  • Direct secure messaging: patm@5cfp.medentdirect.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

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": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674000000000",
    "number": "1457326399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3040 BROADWAY",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123062102",
            "telephone_number": "518-357-2011",
            "fax_number": "518-357-2330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3040 BROADWAY",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123062102",
            "telephone_number": "518-357-2011",
            "fax_number": "518-357-2330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERRITT",
        "first_name": "PATRICIA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-22",
        "last_updated": "2023-01-18",
        "certification_date": "2023-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "191324",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01493558",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "080135605",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Schenectady, NY

Sources for this page

Verify at the official NPI Registry.