Individual provider Active NPI

Chrysothemis F Nesbitt, M.D.

  • Family Medicine Physician
  • Rensselaer, NY
National Provider Identifier
1558707802
Registry record updated May 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
286992 Issued in NY
Practice address
53 Columbia St
Rensselaer, NY 12144
Phone
(518) 434-2526
NPI assigned
May 14, 2013
Last updated
May 19, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 286992 NY Primary

Addresses

Primary practice location

53 Columbia St
Rensselaer, NY 12144

Mailing address

PO Box 14890
Albany, NY 12212-4890
Phone (518) 525-5634

Other practice location 1

49 N Florissant Rd
Ferguson, MO 63135-2310
Phone (314) 633-8921

Other practice location 2

49 N Florissant Rd
Ferguson, MO 63135-2310
Phone (314) 633-8921

Other practice location 3

326 S Pearl St
Albany, NY 12202-1914
Phone (518) 449-0100

Other identifiers 1

IdentifierTypeStateIssuer
00695941MedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address payer.credentialing@sphp.com Direct

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170816000546 NY Practitioner - Family Practice 2264704907 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
St. Peter's Hospital of the City of Albany Family Medicine CurrentSince Sep 9, 2019 Accepting new patients
St. Peter's Hospital of the City of Albany Family Medicine CurrentSince Sep 9, 2019 Accepting new patients
Betty Jean Kerr Peoples Health Centers PastSince Nov 26, 2018 Accepting new patients

Locations

315 S Manning Blvd
Albany, NY 12208
Phone (518) 525-1852

326 S Pearl St
Albany, NY 12202
Phone (518) 449-0100

53 Columbia St
Rensselaer, NY 12144
Phone (518) 434-2526

Interoperability endpoints

  • Direct secure messaging: chrysothemis.kishore@chn.eclinicaldirectplus.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1368489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621382400000",
    "number": "1558707802",
    "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",
            "telephone_number": "518-525-5634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 COLUMBIA ST",
            "city": "RENSSELAER",
            "state": "NY",
            "postal_code": "12144",
            "telephone_number": "518-434-2526"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "49 N Florissant Rd",
            "address_purpose": "LOCATION",
            "city": "Ferguson",
            "state": "MO",
            "postal_code": "631352310",
            "country_code": "US",
            "telephone_number": "314-633-8921",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "49 N Florissant Rd",
            "address_purpose": "LOCATION",
            "city": "Ferguson",
            "state": "MO",
            "postal_code": "631352310",
            "country_code": "US",
            "telephone_number": "314-633-8921",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "326 S Pearl St",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "NY",
            "postal_code": "122021914",
            "country_code": "US",
            "telephone_number": "518-449-0100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NESBITT",
        "first_name": "CHRYSOTHEMIS",
        "middle_name": "F",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-14",
        "last_updated": "2021-05-19",
        "certification_date": "2021-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "286992",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00695941",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "payer.credentialing@sphp.com",
            "affiliation": "N",
            "endpointDescription": "SPHP Payer Credentialing",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "326 S Pearl St",
            "city": "Albany",
            "state": "NY",
            "country_code": "US",
            "postal_code": "122021914",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rensselaer, NY

Sources for this page

Verify at the official NPI Registry.