Individual provider Active NPI

Irene R Flatau, MD

  • Pediatrics Physician
  • Queensbury, NY
National Provider Identifier
1699783472
Registry record updated Mar 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
185478 Issued in NY
Practice address
28 S Western Ave
Queensbury, NY 12804-3323
Phone
(518) 798-6400
Fax
(518) 798-4105
NPI assigned
Aug 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 185478 NY Primary

Addresses

Primary practice location

28 S Western Ave
Queensbury, NY 12804-3323

Mailing address

9 Carey Rd
Queensbury, NY 12804-7880
Phone (518) 761-0300

Other practice location 1

1299 Route 9
Gansevoort, NY 12831-1560
Phone (518) 761-6961

Other practice location 2

27 Hyland Dr
Lake Luzerne, NY 12846-3923
Phone (518) 824-2580

Other identifiers 1

IdentifierTypeStateIssuer
01246193MedicaidNY

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address irene.flatau.1@1823.direct.athenahealth.com
Direct Messaging Address irene.flatau.1@1823.direct.athenahealth.com
Direct Messaging Address irene.flatau.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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100415000030 NY Practitioner - Pediatric Medicine 9537296074 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
185478NYMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hudson Headwaters Health Network Pediatrics CurrentSince Feb 4, 2010 Accepting new patients
Glens Falls Hospital Inc. Pediatrics CurrentSince Apr 29, 2018 Accepting new patients
Saratoga Hospital CurrentSince Sep 1, 2015 Accepting new patients
Saratoga Hospital Current Accepting new patients
Glens Falls Hospital Inc CurrentSince Apr 29, 2018 Accepting new patients
Hudson Headwaters Health Network Pediatrics Current Accepting new patients
Hudson Headwaters Health Network CurrentSince Feb 4, 2010 Accepting new patients
Saratoga Hospital CurrentSince Sep 1, 2015 Accepting new patients
Hudson Headwaters Health Network Past Accepting new patients

Locations

1299 Route 9
Gansevoort, NY 12831
Phone (518) 761-6961

100 Broad St
Glens Falls, NY 12801
Phone (518) 792-2223

79 North St
Granville, NY 12832
Phone (518) 642-0612

27 Hyland Dr
Lake Luzerne, NY 12846
Phone (518) 696-2378

28 S Western Ave
Queensbury, NY 12804
Phone (518) 798-6165

14 Manor Dr
Queensbury, NY 12804
Phone (518) 798-6400

9 Carey Rd
Queensbury, NY 12804

3050 Route 50
Saratoga Springs, NY 12866
Phone (518) 886-5108

1 West Ave
Ste 300
Saratoga Springs, NY 12866
Phone (518) 693-4699

3767 Main St
Warrensburg, NY 12885
Phone (518) 623-2844

Interoperability endpoints

  • Direct secure messaging: irene.flatau.1@1823.direct.athenahealth.com
  • Direct secure messaging: iflatau109187@albanymed.direct-ci.com

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773360000000",
    "number": "1699783472",
    "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": "28 S WESTERN AVE",
            "city": "QUEENSBURY",
            "state": "NY",
            "postal_code": "128043323",
            "telephone_number": "518-798-6400",
            "fax_number": "518-798-4105"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1299 Route 9",
            "address_purpose": "LOCATION",
            "city": "Gansevoort",
            "state": "NY",
            "postal_code": "128311560",
            "country_code": "US",
            "telephone_number": "518-761-6961",
            "fax_number": "518-761-1006",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "27 Hyland Dr",
            "address_purpose": "LOCATION",
            "city": "Lake Luzerne",
            "state": "NY",
            "postal_code": "128463923",
            "country_code": "US",
            "telephone_number": "518-824-2580",
            "fax_number": "518-824-2579",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLATAU",
        "first_name": "IRENE",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-04",
        "last_updated": "2026-03-13",
        "certification_date": "2026-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "185478",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01246193",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "irene.flatau.1@1823.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "28 S Western Ave",
            "city": "Queensbury",
            "state": "NY",
            "country_code": "US",
            "postal_code": "128043323",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "irene.flatau.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"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "irene.flatau.1@1823.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "27 Hyland Dr",
            "city": "Lake Luzerne",
            "state": "NY",
            "country_code": "US",
            "postal_code": "128463923",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Queensbury, NY

Sources for this page

Verify at the official NPI Registry.