John Krisa, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

226510 Issued in NY

Practice address

600 Northern Blvd
Albany, NY 12204-1004

Phone

(518) 271-3300

NPI assigned

Feb 8, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jkrisa788023@direct.trinity-health.org

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.

• Samaritan Hospital of Troy, New York

  • General Acute Care Hospital
  • Troy, NY
  • NPI 1043267727

  Internal Medicine

  Medicare reassignment NPD
• Hospitalist Medicine Physician of Broome County PLLC

  • Internal Medicine Physician
  • Binghamton, NY
  • NPI 1639374580
  NPD (past)
• Hospitalist Medicine Physicians of Albany County, PLLC

  • Internal Medicine Physician
  • Albany, NY
  • NPI 1578502498
  NPD (past)
• Hospitalist Medicine Physicians of Cortland County, PLLC

  • Internal Medicine Physician
  • Cortland, NY
  • NPI 1609815521
  NPD (past)
• Hospitalist Medicine Physicians of New York, PLLC

  dba Sound Physicians Emergency Medicine of New York

  • Emergency Medicine Physician
  • Bronx, NY
  • NPI 1205944329
  NPD (past)

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621209600000",
    "number": "1528108412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14890",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122124890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 NORTHERN BLVD",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122041004",
            "telephone_number": "518-271-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRISA",
        "first_name": "JOHN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-08",
        "last_updated": "2021-05-17",
        "certification_date": "2021-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "226510",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02394232",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "payer.credentialing@sphp.com",
            "affiliation": "N",
            "endpointDescription": "SPH Payer Credentialing",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "600 Northern Blvd",
            "city": "Albany",
            "state": "NY",
            "country_code": "US",
            "postal_code": "122041004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jaime I Krepostman, M.D.
• Susannah Louis Kricker, MD
• Suzanne Frances Kriefall, RD
• Donna A R Kriegbaum, MS, RD, CDN
• Laura Krieger, LCSW
• Dewatie Krishindat, FNP-BC
• Alvin Anand Krishna, MD
• Balu M Krishna, BDS,MDS
• Kachigere S Krishnappa, MD
• Deborah Leadholm Kriss, M.D.

• Internal Medicine Physician in Albany, NY
• Providers in Albany, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.