Thomas Chattathil, M.D
Individual provider Active NPI Family Medicine Physician · Cohoes, NY
NPI 1457795197 · NPPES record last updated May 29, 2024
Key facts
- NPI
- 1457795197
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 286296 (NY)
- Practice address
- 55 Mohawk St Ste 105
Cohoes, NY 12047-2600 - Phone
- (518) 235-7282
- NPI assigned
- Apr 24, 2013
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Samaritan Hospital of Troy, New York
Practice addresses (Care Compare)
55 Mohawk St
Suite 105
Cohoes, NY 12047-2600
Phone (518) 286-1922
Hospital & facility affiliations
- Eddy Visiting Nurse & Rehab Association
- Marquis Certified Home Care, LLC
- Samaritan Hospital of Troy, New York
- St Peter'S 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 |
|---|---|---|---|---|
| I20170817001972 | NY | Practitioner - Family Practice | 7012289572 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Samaritan Hospital of Troy, New York | Family Medicine | Current |
Accepting new patients |
Locations
55 Mohawk St
Ste 105
Cohoes, NY 12047
Phone (518) 235-7282
2215 Burdett Ave
Troy, NY 12180
Phone (518) 271-3300
Interoperability endpoints
- tchattathil834290@direct.trinity-health.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Family Medicine) Physician | 207QS0010X | 286296 | NY | |
| Family Medicine Physician | 207Q00000X | 286296 | NY | Yes |
Addresses
Primary practice location
55 Mohawk St Ste 105
Cohoes, NY 12047-2600
Mailing address
PO Box 14890
Albany, NY 12212-4890
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | payer.credentialing@sphp.com | Direct |
Other providers in Cohoes, NY
- Capital Region Geriatric Center, Inc.
- Capital Region Geriatric Center, Inc.
- Marni A Carpenter
- Jillian Carter
- Solomon Chang
- Jodi Ann Chiovetta
- Karen Church
- Richard Anthony Ciulla
- Kristin Cobb
- Juliet Coffey
All providers in Cohoes, 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 May 29, 2024. 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.