Organization Active NPI

Columbia Internal Medicine, PLLC

  • Internal Medicine Physician
  • East Greenbush, NY
National Provider Identifier
1477503142
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 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
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Padma Sripada, MDNPI 1881644755
Title
Owner
Phone
(518) 391-2889

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060707000067 NY Part B Supplier - Clinic/Group Practice 8022020270 Receives reassigned benefits from 1 practitioner
Practice locations: Castleton, NY

National Provider Directory

National Provider Directory
Tax ID family
Columbia Internal Medicine2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

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

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1477503142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9152",
            "address_2": "COLUMBIA INTERNAL MEDICINE",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123090152",
            "telephone_number": "518-391-2889",
            "fax_number": "518-391-2304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 SPRINGHURST DR",
            "city": "EAST GREENBUSH",
            "state": "NY",
            "postal_code": "120612233",
            "telephone_number": "518-391-2889",
            "fax_number": "518-391-2304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBIA INTERNAL MEDICINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SRIPADA",
        "authorized_official_first_name": "PADMA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "518-391-2889",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Greenbush, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare 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.