Ephraim E Back, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

163541 Issued in NY

Practice address

38 Larose St
Glens Falls, NY 12801-3452

Phone

(518) 824-8181

Fax

(833) 819-0268

NPI assigned

Jul 13, 2006

Last updated

Oct 7, 2026By 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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Hospitalist

Education

State University of New York at Buffalo School of Medicine, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hudson Headwaters Health NetworkGroup PAC ID 7416861208, 221 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Glens Falls Hospital Hospital, Glens Falls, NY, CCN 330191
• Elizabethtown Community Hospital Hospital, Elizabethtown, NY, CCN 331302

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: eback110154@albanymed.direct-ci.com
• Direct secure messaging: ephraim.back.1@1823.direct.athenahealth.com

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.

• Hudson Headwaters Health Network

  • Primary Care Clinic/Center
  • Warrensburg, NY
  • NPI 1194738344

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Glens Falls Hospital Inc.

  dba Adirondack Medical Services

  • Family Medicine Physician
  • Glens Falls, NY
  • NPI 1336198217
  Medicare reassignment NPD
• Saratoga Hospital

  • Endocrinology, Diabetes & Metabolism Physician
  • Gansevoort, NY
  • NPI 1033371166
  Medicare reassignment NPD
• Saratoga Hospital

  • Family Medicine Physician
  • Saratoga Springs, NY
  • NPI 1629415740
  Medicare reassignment NPD
• Glens Falls Hospital Inc

  dba Glens Falls Hospital Community Pharmacy

  • Community/Retail Pharmacy
  • Glens Falls, NY
  • NPI 1619990991
  NPD
• Hudson Headwaters Health Network

  • Primary Care Clinic/Center
  • Salem, NY
  • NPI 1982417119

  Family Medicine

  NPD
• Saratoga Hospital

  dba The Community Pharmacy at Saratoga Hospital

  • Community/Retail Pharmacy
  • Saratoga Springs, NY
  • NPI 1164148110
  NPD
• Saratoga Hospital

  • Family Medicine Physician
  • Saratoga SPGS, NY
  • NPI 1881924322
  NPD
• Hudson Headwaters Health Network

  • Primary Care Clinic/Center
  • Champlain, NY
  • NPI 1245285170
  NPD (past)
• Provident Emergency Medicine Associates, PC

  • Emergency Medicine Physician
  • Schenectady, NY
  • NPI 1750310645
  NPD (past)
• St. Clare's Hospital of Schenectady New York

  • General Acute Care Hospital
  • Schenectady, NY
  • NPI 1669570313
  NPD (past)
• St. Clares Hospital

  • General Acute Care Hospital
  • Schenectady, NY
  • NPI 1801886072
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Elizabethtown Community Hospital

  dba Elizabethtown Community Hospital Transport

  • Ambulance
  • Elizabethtown, NY
  • NPI 1487923637

  Hospital

  Care Compare affiliation
• Elizabethtown Community Hospital

  • Critical Access Hospital
  • Elizabethtown, NY
  • NPI 1891785184
  Care Compare affiliation
• Glens Falls Hospital Inc

  • General Acute Care Hospital
  • Glens Falls, NY
  • NPI 1871606764
  Care Compare affiliation

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791331200000",
    "number": "1649295254",
    "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": "38 LAROSE ST",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128013452",
            "telephone_number": "518-824-8181",
            "fax_number": "833-819-0268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BACK",
        "first_name": "EPHRAIM",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2026-10-07",
        "certification_date": "2026-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "163541",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01262862",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ephraim.back.1@1823.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "38 Larose St",
            "city": "Glens Falls",
            "state": "NY",
            "country_code": "US",
            "postal_code": "128013452",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Aspire for the Provision of Physical Therapy, Occupational Therapy, SP
• Associates in Rehabilitation Technology (La Torre Orthopedic Laboratory)
• Brooke Ann Avon, LMHC
• Andrew Babbage, PHARM D, RPH, MHSA
• Andrew Bachman, M.D.
• Sarah Backus
• Dottie-Jean Bailey
• Loren C Baim, D.D.S.
• Sean R Bain, MD
• Brianna Baker, LMHC

• Family Medicine Physician in Glens Falls, NY
• Providers in Glens Falls, 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 Oct 7, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.