Columbia Internal Medicine, PLLC

Key facts

NPI: 1477503142
Entity type: Organization (NPI type 2)
Primary specialty: Internal Medicine Physician 207R00000X
Legal business name: COLUMBIA INTERNAL MEDICINE, PLLC
Practice address: 4 Springhurst Dr
East Greenbush, NY 12061-2233
Phone: (518) 391-2889
Fax: (518) 391-2304
NPI assigned: May 11, 2006
Organization subpart: No

Authorized official

Name: Padma Sripada, MD
Title: Owner
Phone: (518) 391-2889

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

Columbia Internal Medicine Primary Care Clinic/Center · Castleton, NY · NPI 1780994111

NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Padma Sripada, MD Internal Medicine Physician · Castleton, NY · NPI 1881644755

Medicare reassignment NPD INTERNAL MEDICINE · NY

Medicare participation

Medicare fee-for-service enrollment: Enrolled in NY

Medicare enrollment records

Enrollment ID	State	Provider type	PAC ID	Details
O20060707000067	NY	Part B Supplier - Clinic/Group Practice	8022020270	Receives reassigned benefits from 1 practitioner Practice locations: Castleton, NY

National Provider Directory

Tax ID family: Columbia Internal Medicine (2 organizations share this tax ID)

Locations

2500 Pond Vw
Ste 202
Castleton on Hudson, NY 12033
Phone (518) 391-2889

4 Springhurst Dr
East Greenbush, NY 12061
Phone (518) 373-1181

4 Springhurst Dr
Ste 110
East Greenbush, NY 12061
Phone (518) 391-2889

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Internal Medicine Physician Group: 193400000X SINGLE SPECIALTY GROUP	207R00000X			Yes

Addresses

Primary practice location

4 Springhurst Dr
East Greenbush, NY 12061-2233

Mailing address

PO Box 9152
Columbia Internal Medicine
Schenectady, NY 12309-0152
Phone (518) 391-2889

Other providers in East Greenbush, NY

All providers in East Greenbush, NY · Internal 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 Aug 22, 2020. 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.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.