Active NPI
Amine F Gebremichael, MD
- Pediatrics Physician
- Gansevoort, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 272530
- Practice address
- 1299 Route 9
Gansevoort, NY 12831-1560 - Phone
- (518) 761-6961
- Fax
- (518) 761-1006
- NPI assigned
- Apr 15, 2010
- Last updated
- Mar 13, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 272530 | NY | Primary |
Addresses
Primary practice location
1299 Route 9
Gansevoort, NY 12831-1560
Mailing address
9 Carey Rd
Queensbury, NY 12804-7880
Phone (518) 761-0300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03686362 | Medicaid | NY |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | amine.gebremichael.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: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 272530 | NY | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hudson Headwaters Health Network | Pediatrics | Current | Accepting new patients |
| Glens Falls Hospital Inc. | Pediatrics | Current | Accepting new patients |
| Glens Falls Hospital Inc | Current | Accepting new patients | |
| Hudson Headwaters Health Network | Pediatrics | Current | Accepting new patients |
| Hudson Headwaters Health Network | Past | Accepting new patients | |
| Glens Falls Hospital Inc | Past | Accepting new patients |
Locations
1299 Route 9
Gansevoort, NY 12831
Phone (518) 761-6961
79 North St
Granville, NY 12832
Phone (518) 642-0612
9 Carey Rd
Queensbury, NY 12804
Interoperability endpoints
- agebremichael98730@albanymed.direct-ci.com
- amine.gebremichael.1@1823.direct.athenahealth.com
Organizations & group practices 6
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.
-
dba Adirondack Medical Services
- Family Medicine Physician
- Glens Falls, NY
- NPI 1336198217
Pediatrics
-
- Primary Care Clinic/Center
- Warrensburg, NY
- NPI 1194738344
Pediatrics
-
dba Glens Falls Hospital Community Pharmacy
- Community/Retail Pharmacy
- Glens Falls, NY
- NPI 1619990991
-
- General Acute Care Hospital
- Glens Falls, NY
- NPI 1871606764
-
- Primary Care Clinic/Center
- Champlain, NY
- NPI 1245285170
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271289600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773360000000",
"number": "1629394622",
"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": "1299 ROUTE 9",
"city": "GANSEVOORT",
"state": "NY",
"postal_code": "128311560",
"telephone_number": "518-761-6961",
"fax_number": "518-761-1006"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GEBREMICHAEL",
"first_name": "AMINE",
"middle_name": "F",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-04-15",
"last_updated": "2026-03-13",
"certification_date": "2026-03-13",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "272530",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03686362",
"state": "NY"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "amine.gebremichael.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"
}
],
"other_names": []
}
Other providers in Gansevoort, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2026; 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.