NPIMap

Individual provider Active NPI

Megan P Cody, RPA-C

  • Physician Assistant
  • Albany, NY
National Provider Identifier
1700196086
Registry record updated Sep 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
015317 Issued in NY
Practice address
1444 Western Ave
Suite D
Albany, NY 12203-3440
Phone
(518) 452-0587
Fax
(518) 218-0152
NPI assigned
Oct 20, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 015317 NY Primary

Addresses

Primary practice location

1444 Western Ave
Suite D
Albany, NY 12203-3440

Mailing address

4 Atrium Dr Ste 100
Attn: Credentialing
Albany, NY 12205-1441
Phone (518) 435-2740

Other identifiers 1

IdentifierTypeStateIssuer
015317OtherNYLICENSRE

Other names 1

  • Megan Pelnik Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120925000409 NY Practitioner - Physician Assistant 8628267077 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Capital Region Orthopaedic Associates, PCGroup PAC ID 3779496393, 67 clinicians
Rehabilitation Associates IncGroup PAC ID 8022905322, shared by 2 NPIs, 525 clinicians

Practice addresses (Care Compare)

1019 New Loudon Rd
Cohoes, NY 12047-5003
Phone (518) 608-8876

1367 Washington Ave
Suite 200
Albany, NY 12206-1043
Phone (518) 489-2666

1931 Black Rock Tpke
Fairfield, CT 06825-3506
Phone (203) 384-8681

4 Medical Park Dr
Suite 200
Malta, NY 12020-5004
Phone (518) 289-2171

989 Route 146
Suite 200
Clifton Park, NY 12065-3647
Phone (518) 383-0617

Hospital & facility affiliations

  • Saratoga Hospital Hospital, Saratoga Springs, NY, CCN 330222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
015317NYMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
St. Peter'S Health Partners Medical Associates, P.C. Physician Assistant CurrentSince Jan 1, 2013 Accepting new patients

Locations

1444 Western Ave
Ste D
Albany, NY 12203
Phone (518) 452-0287

4 Atrium Dr
Ste 100
Albany, NY 12205
Phone (518) 435-2704

2 New Hampshire Ave
Troy, NY 12180
Phone (518) 272-0331

Interoperability endpoints

  • Direct secure messaging: megan.cody.1@28317.direct.athenahealth.com

Organizations & group practices 2

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.

Hospital & facility affiliations 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1287532800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348790400000",
    "number": "1700196086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 ATRIUM DR STE 100",
            "address_2": "ATTN: CREDENTIALING",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122051441",
            "telephone_number": "518-435-2740",
            "fax_number": "518-649-4025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1444 WESTERN AVE",
            "address_2": "SUITE D",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122033440",
            "telephone_number": "518-452-0587",
            "fax_number": "518-218-0152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CODY",
        "first_name": "MEGAN",
        "middle_name": "P",
        "name_prefix": "Mrs.",
        "credential": "RPA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-20",
        "last_updated": "2012-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "015317",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSRE",
            "identifier": "015317",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEGAN",
            "last_name": "PELNIK",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.