Individual provider Active NPI

Timothy A Culliton, DPM

  • Podiatrist
  • Warrensburg, NY
National Provider Identifier
1477567121
Registry record updated Mar 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
005076 Issued in NY
Practice address
3767 Main St
Warrensburg, NY 12885-1890
Phone
(518) 623-2844
Fax
(518) 623-3416
NPI assigned
Jul 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 005076 NY Primary

Addresses

Primary practice location

3767 Main St
Warrensburg, NY 12885-1890

Mailing address

9 Carey Rd
Queensbury, NY 12804-7880
Phone (518) 761-0300

Other practice location 1

101 Adirondack Dr Ste 2
Ticonderoga, NY 12883-9334
Phone (518) 585-6708

Other practice location 2

161 Carey Rd
Queensbury, NY 12804-7821
Phone (518) 824-8610

Other practice location 3

100 Broad St
Glens Falls, NY 12801-4349
Phone (518) 792-2223

Other practice location 4

1299 Route 9
Gansevoort, NY 12831-1560
Phone (518) 761-6961

Other practice location 5

24 Fairfield Avenue, PO Box 292
Schroon Lake, NY 12870-0292
Phone (518) 532-7120

Other identifiers 1

IdentifierTypeStateIssuer
01477641MedicaidNY

Electronic endpoints 6

TypeEndpointUseAffiliation
Direct Messaging Address timothy.culliton.1@1823.direct.athenahealth.com
Direct Messaging Address timothy.culliton.1@1823.direct.athenahealth.com
Direct Messaging Address timothy.culliton.1@1823.direct.athenahealth.com
Direct Messaging Address timothy.culliton.1@1823.direct.athenahealth.com
Direct Messaging Address timothy.culliton.1@1823.direct.athenahealth.com
Direct Messaging Address timothy.culliton.1@1823.direct.athenahealth.com

Medicare participation

Medicare enrollment files
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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100429000180 NY Practitioner - Podiatry 3577690254 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Podiatric Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hudson Headwaters Health NetworkGroup PAC ID 7416861208, 221 clinicians

Practice addresses (Care Compare)

3767 Main St
Warrensburg, NY 12885-1837
Phone (518) 623-2844

Hospital & facility affiliations

  • Glens Falls Hospital Hospital, Glens Falls, NY, CCN 330191
  • Elizabethtown Community Hospital Hospital, Elizabethtown, NY, CCN 331302

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue169
Removal or shaving of skin growth68

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
005076NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Hudson Headwaters Health Network Podiatrist Current Accepting new patients
Hudson Headwaters Health Network Podiatrist CurrentSince Jun 1, 1999 Accepting new patients
Hudson Headwaters Health Network CurrentSince Jun 1, 1999 Accepting new patients
Hudson Headwaters Health Network Past Accepting new patients

Locations

1299 Route 9
Gansevoort, NY 12831
Phone (518) 761-6961

100 Broad St
Glens Falls, NY 12801
Phone (518) 792-2223

161 Carey Rd
Queensbury, NY 12804
Phone (518) 480-0011

9 Carey Rd
Queensbury, NY 12804

101 Adirondack Dr
Ste 2
Ticonderoga, NY 12883
Phone (518) 585-6708

3767 Main St
Warrensburg, NY 12885
Phone (518) 623-2844

Interoperability endpoints

  • Direct secure messaging: timothy.culliton.1@1823.direct.athenahealth.com

Organizations & group practices 4

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773360000000",
    "number": "1477567121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 CAREY RD",
            "city": "QUEENSBURY",
            "state": "NY",
            "postal_code": "128047880",
            "telephone_number": "518-761-0300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3767 MAIN ST",
            "city": "WARRENSBURG",
            "state": "NY",
            "postal_code": "128851890",
            "telephone_number": "518-623-2844",
            "fax_number": "518-623-3416"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 Adirondack Dr Ste 2",
            "address_purpose": "LOCATION",
            "city": "Ticonderoga",
            "state": "NY",
            "postal_code": "128839334",
            "country_code": "US",
            "telephone_number": "518-585-6708",
            "fax_number": "518-585-3260",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "161 Carey Rd",
            "address_purpose": "LOCATION",
            "city": "Queensbury",
            "state": "NY",
            "postal_code": "128047821",
            "country_code": "US",
            "telephone_number": "518-824-8610",
            "fax_number": "518-824-2390",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Broad St",
            "address_purpose": "LOCATION",
            "city": "Glens Falls",
            "state": "NY",
            "postal_code": "128014349",
            "country_code": "US",
            "telephone_number": "518-792-2223",
            "fax_number": "518-792-8231",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1299 Route 9",
            "address_purpose": "LOCATION",
            "city": "Gansevoort",
            "state": "NY",
            "postal_code": "128311560",
            "country_code": "US",
            "telephone_number": "518-761-6961",
            "fax_number": "518-761-1006",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "24 Fairfield Avenue, PO Box 292",
            "address_purpose": "LOCATION",
            "city": "Schroon Lake",
            "state": "NY",
            "postal_code": "128700292",
            "country_code": "US",
            "telephone_number": "518-532-7120",
            "fax_number": "518-532-0593",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CULLITON",
        "first_name": "TIMOTHY",
        "middle_name": "A",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2026-03-13",
        "certification_date": "2026-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NY",
            "license": "005076",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01477641",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "timothy.culliton.1@1823.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "3767 Main St",
            "city": "Warrensburg",
            "state": "NY",
            "country_code": "US",
            "postal_code": "128851890",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "timothy.culliton.1@1823.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "100 Broad St",
            "city": "Glens Falls",
            "state": "NY",
            "country_code": "US",
            "postal_code": "128014349",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "timothy.culliton.1@1823.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "1299 Route 9",
            "city": "Gansevoort",
            "state": "NY",
            "country_code": "US",
            "postal_code": "128311560",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "timothy.culliton.1@1823.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "101 Adirondack Dr Ste 2",
            "city": "Ticonderoga",
            "state": "NY",
            "country_code": "US",
            "postal_code": "128839334",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "timothy.culliton.1@1823.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "161 Carey Rd",
            "city": "Queensbury",
            "state": "NY",
            "country_code": "US",
            "postal_code": "128047821",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "timothy.culliton.1@1823.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "24 Fairfield Avenue, PO Box 292",
            "city": "Schroon Lake",
            "state": "NY",
            "country_code": "US",
            "postal_code": "128700292",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Warrensburg, NY

Sources for this page

Verify at the official NPI Registry.