Karissa Scarabino, DO, MPH

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

255604 Issued in NY

Practice address

990 State Route 67
Suite 101
Ballston Spa, NY 12020-3603

Phone

(518) 889-8450

Fax

(518) 889-8451

NPI assigned

Aug 29, 2007

Last updated

Apr 8, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jan 7, 2016 through Jan 7, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

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

• Ellis Hospital

  dba Ellis Primary Care - Ballston Spa

  • Primary Care Clinic/Center
  • Ballston Spa, NY
  • NPI 1871073353
  NPD (past)
• St. Peter's Health Partners Medical Associates, P.C.

  • Multi-Specialty Clinic/Center
  • Albany, NY
  • NPI 1750626834

  Family Medicine

  NPD (past)

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

{
    "created_epoch": "1188345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396915200000",
    "number": "1518151927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "990 STATE ROUTE 67",
            "address_2": "SUITE 101",
            "city": "BALLSTON SPA",
            "state": "NY",
            "postal_code": "120203603",
            "telephone_number": "518-889-8450",
            "fax_number": "518-889-8451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "990 STATE ROUTE 67",
            "address_2": "SUITE 101",
            "city": "BALLSTON SPA",
            "state": "NY",
            "postal_code": "120203603",
            "telephone_number": "518-889-8450",
            "fax_number": "518-889-8451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCARABINO",
        "first_name": "KARISSA",
        "credential": "DO, MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-29",
        "last_updated": "2014-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "NY",
            "license": "255604",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "255604",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03190503",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Saratoga Dental PLLC
• Saratoga Hospital
• Saratoga Hospital
• Saratoga Regional Medical , P.C
• Callie M Savoie, L.P.N
• Benjamin Thomas Scharett, LMSW
• Samantha N Shaw
• Tracy Sherman, PT
• Wendy Sue Shisler
• Laura Britto Shockley, LCSW

• Family Medicine Physician in Ballston Spa, NY
• Providers in Ballston Spa, 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 Apr 8, 2014; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.