John Pramenko, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

203711-1 Issued in NY

Practice address

2310 Nott St E
Niskayuna, NY 12309-4303

Phone

(518) 381-4133

Fax

(888) 641-2073

NPI assigned

Feb 24, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

University of Connecticut School of Medicine, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

John M Pramenko MD PCGroup PAC ID 8921193566, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Eddy Visiting Nurse & Rehab Association Home health agency, Troy, NY, CCN 337203
• Ellis Hospital Hospital, Schenectady, NY, CCN 330153

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• John M. Pramenko, MD, P.C.

  • Family Medicine Physician
  • Niskayuna, NY
  • NPI 1821293309
  Medicare reassignment Care Compare group NPD Authorized official
• Ellis Hospital

  • General Acute Care Hospital
  • Schenectady, NY
  • NPI 1487644993
  NPD (past)

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

• Ellis Hospital

  • General Acute Care Hospital
  • Schenectady, NY
  • NPI 1487644993
  Care Compare affiliation
• Home Aide Service of Eastern New York, Inc.

  • Home Health Agency
  • Troy, NY
  • NPI 1114967924
  Care Compare affiliation

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

{
    "created_epoch": "1140739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197590400000",
    "number": "1477529048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2310 NOTT ST E",
            "city": "NISKAYUNA",
            "state": "NY",
            "postal_code": "123094303",
            "telephone_number": "518-381-4133",
            "fax_number": "888-641-2073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2310 NOTT ST E",
            "city": "NISKAYUNA",
            "state": "NY",
            "postal_code": "123094303",
            "telephone_number": "518-381-4133",
            "fax_number": "888-641-2073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRAMENKO",
        "first_name": "JOHN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-24",
        "last_updated": "2007-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "203711-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01654695",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Meghan Plunkett, L.AC
• Nickisha Pooran, RDN
• Carol C. Possin, PHD
• Susanne Marie Poulette, M.S. IN ED.
• Carole A Praga, LMHC
• Patricia P Primomo, DDS
• Priority Pharmaceutical Service LLC
• Joan Carpenter Pritchard I, MA-CCC-SLP
• Melissa A Raduazzo, FNP
• Robin L. Rappazzo, RD

• Family Medicine Physician in Niskayuna, NY
• Providers in Niskayuna, NY by specialty
• Family Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.