NPIMap

Individual provider Active NPI

Andrew Kearney, PA

  • Physician Assistant
  • Glens Falls, NY
National Provider Identifier
1467490680
Registry record updated Feb 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
007870 Issued in NY
Practice address
2 Broad Street PLZ
Glens Falls, NY 12801-4363
Phone
(518) 926-1770
Fax
(518) 926-1799
NPI assigned
Jun 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 0078701 NY
Physician Assistant 363A00000X 007870 NY Primary

Addresses

Primary practice location

2 Broad Street PLZ
Glens Falls, NY 12801-4363

Mailing address

PO Box 304
Glens Falls, NY 12801-0304
Phone (518) 926-6999

Other identifiers 1

IdentifierTypeStateIssuer
02509584MedicaidNY

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
I20051206000832 NY Practitioner - Physician Assistant 5597785410 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saratoga HospitalGroup PAC ID 6406740273, shared by 7 NPIs, 353 clinicians

Practice addresses (Care Compare)

1 W Ave
Suite 300
Saratoga Springs, NY 12866-6050
Phone (518) 693-4699

3040 Route 50
Saratoga Springs, NY 12866-3073
Phone (518) 580-2273

3044 Route 50
Saratoga Springs, NY 12866-3073
Phone (518) 886-5800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
68.51 of 100Reported as group
Quality
56.19
Improvement activities
40
Cost
75.36

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
007870NYMDMental Health Counselor
0078701NYMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Saratoga Hospital CurrentSince Jul 12, 2015 Accepting new patients
Saratoga Hospital CurrentSince Apr 30, 2024 Accepting new patients
Saratoga Hospital CurrentSince Apr 30, 2024 Accepting new patients
Scotia Glenville Family Medicine, P.C. Current Accepting new patients
Saratoga Regional Medical , P.C CurrentSince May 19, 2024 Accepting new patients
Saratoga Hospital CurrentSince Jul 12, 2015 Accepting new patients
Saratoga Hospital CurrentSince Sep 21, 2015 Accepting new patients
Saratoga Hospital Past Accepting new patients
Saratoga Hospital Past Accepting new patients
Orthopedicsny, LLP Past Accepting new patients

Locations

510 Geyser Rd
Ballston Spa, NY 12020
Phone (518) 289-2720

112 Charlton Rd
Charlton, NY 12019
Phone (518) 399-7723

2388 Route 9
Mechanicville, NY 12118
Phone (518) 587-0845

1 West Ave
Ste 125
Saratoga Springs, NY 12866
Phone (518) 693-4418

15 Maple Dell
Ste 1
Saratoga Springs, NY 12866
Phone (518) 583-7400

211 Church St
Saratoga Springs, NY 12866
Phone (518) 583-8461

1 West Ave
Ste 300
Saratoga Springs, NY 12866
Phone (518) 693-4699

3065 Route 50
Ste 30
Saratoga Springs, NY 12866
Phone (518) 584-7361

3044 Route 50
Saratoga Springs, NY 12866
Phone (518) 886-5800

24 Hamilton St
Saratoga Springs, NY 12866
Phone (518) 886-5600

254 Church St
Ste 2
Saratoga Springs, NY 12866
Phone (518) 584-3377

Interoperability endpoints

  • Direct secure messaging: akearney99359@albanymed.direct-ci.com

Organizations & group practices 12

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 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265760000000",
    "number": "1467490680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 304",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128010304",
            "telephone_number": "518-926-6999",
            "fax_number": "518-926-6984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 BROAD STREET PLZ",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128014363",
            "telephone_number": "518-926-1770",
            "fax_number": "518-926-1799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEARNEY",
        "first_name": "ANDREW",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2010-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NY",
            "license": "0078701",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "007870",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02509584",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glens Falls, NY

Sources for this page

Verify at the official NPI Registry.