NPIMap

Organization Active NPI

Adirondack Medical Center

  • Hospitalist Physician
  • Saranac Lake, NY
National Provider Identifier
1487183174
Registry record updated Nov 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
Legal business name
ADIRONDACK MEDICAL CENTER
Practice address
2233 State Route 86
Saranac Lake, NY 12983-5644
Phone
(518) 897-2479
Fax
(518) 897-2530
NPI assigned
Jun 7, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2023

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

Authorized official

Name
Adele Pickreign
Title
Credentialing Coordinator
Phone
(518) 897-4725

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X
Hospitalist PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208M00000X Primary

Addresses

Primary practice location

2233 State Route 86
Saranac Lake, NY 12983-5644

Mailing address

PO Box 1380
Saranac Lake, NY 12983-7380
Phone (518) 897-2479

Other identifiers 1

IdentifierTypeStateIssuer
00363213MedicaidNY

Other names 1

  • Adirondack Medical Center-Hospitalists Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20170823002656 NY Part B Supplier - Hospital Department(S) 9638081284 Receives reassigned benefits from 19 practitioners
Practice locations: Saranac Lake, NY
O20181220002829 NY MDPP Supplier - in-Person MDPP Supplier 9638081284 2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Saranac Lake, NY

Other NPIs with the same Medicare PAC ID 7

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 93

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

View all 93

NPI Registry JSON

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

{
    "created_epoch": "1496793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699488000000",
    "number": "1487183174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1380",
            "city": "SARANAC LAKE",
            "state": "NY",
            "postal_code": "129837380",
            "telephone_number": "518-897-2479",
            "fax_number": "518-897-2530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2233 STATE ROUTE 86",
            "city": "SARANAC LAKE",
            "state": "NY",
            "postal_code": "129835644",
            "telephone_number": "518-897-2479",
            "fax_number": "518-897-2530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADIRONDACK MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-07",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A",
        "authorized_official_last_name": "PICKREIGN",
        "authorized_official_first_name": "ADELE",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "518-897-4725"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Hospitalist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00363213",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Adirondack Medical Center-Hospitalists",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Adirondack Medical Center-Hospitalists",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Saranac Lake, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2023; 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.