Luke Nightingale, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

167804 Issued in NY

Practice address

1111 Hudson Ave
Stillwater, NY 12170-3439

Phone

(518) 664-3242

NPI assigned

Apr 26, 2006

Last updated

May 19, 2021By the provider in NPPES

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

Practice roles

Locations

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.

• Samaritan Hospital of Troy, New York

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

  Family Medicine

  Medicare reassignment NPD

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621382400000",
    "number": "1649237496",
    "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": "1111 HUDSON AVE",
            "city": "STILLWATER",
            "state": "NY",
            "postal_code": "121703439",
            "telephone_number": "518-664-3242"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Tallow Wood Dr",
            "address_purpose": "LOCATION",
            "city": "Clifton Park",
            "state": "NY",
            "postal_code": "120652807",
            "country_code": "US",
            "telephone_number": "518-373-4500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "158 Saratoga Ave",
            "address_purpose": "LOCATION",
            "city": "Waterford",
            "state": "NY",
            "postal_code": "121882205",
            "country_code": "US",
            "telephone_number": "518-233-1162",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8 Meadowview Dr",
            "address_purpose": "LOCATION",
            "city": "Schaghticoke",
            "state": "NY",
            "postal_code": "121542840",
            "country_code": "US",
            "telephone_number": "518-753-6964",
            "fax_number": "518-753-7583",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NIGHTINGALE",
        "first_name": "LUKE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2021-05-19",
        "certification_date": "2021-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "167804",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01060186",
            "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": "1111 Hudson Ave",
            "city": "Stillwater",
            "state": "NY",
            "country_code": "US",
            "postal_code": "121703439",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Maha Ghorayeb NP in Family Health, PLLC
• Meliora Family Medicine PLLC
• Carl Miller
• Madison Shea Moskowitz, LMSW
• Melissa Marie Nastasi, PT, DPT
• Patenaude Chiropractic LLP (Schuyler Creek Chiropractic Center)
• Brady William Patenaude, DC
• Kelli Leigh Patenaude, D.C.
• Taryn Kaye Putney, M.S., CCC-SLP
• Samaritan Hospital of Troy, New York

• Family Medicine Physician in Stillwater, NY
• Providers in Stillwater, 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 May 19, 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.