NPIMap

Individual provider Active NPI

Maxwell Reback, MD

  • Pulmonary Disease Physician
  • Saratoga Springs, NY
National Provider Identifier
1700271905
Registry record updated Jul 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
328044 Issued in NY
Practice address
19 West Ave
Saratoga Springs, NY 12866-6049
Phone
(518) 693-4635
NPI assigned
Apr 3, 2015
Last updated
Jul 11, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X 68235 CT
Pulmonary Disease Physician 207RP1001X 328044 NY Primary

Addresses

Primary practice location

19 West Ave
Saratoga Springs, NY 12866-6049

Mailing address

19 West Ave Ste 101
Saratoga Springs, NY 12866-6052
Phone (518) 693-4635

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
I20240802001633 NY Practitioner - Critical Care (Intensivists)Practitioner - Pulmonary Disease 8628372422 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)Also: Pulmonary Disease
Education
University of Rochester School of Medicine and Dentistry, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saratoga HospitalGroup PAC ID 6406740273, 353 clinicians

Practice addresses (Care Compare)

1 W Ave
Suite 300
Saratoga Springs, NY 12866-6050
Phone (518) 693-4699

1 W Plaza
Suite 101
Saratoga Springs, NY 12866-6052
Phone (518) 693-4635

19 W Ave
Suite 103
Saratoga Springs, NY 12866-6052
Phone (518) 583-0111

211 Church St
Saratoga Springs, NY 12866-1003
Phone (518) 583-8421

3040 Route 50
Saratoga Springs, NY 12866-3073
Phone (518) 580-2273

3044 Route 50
Saratoga Springs, NY 12866-3073
Phone (518) 886-5800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.05 of 100Reported as group
Quality
70.34
Promoting interoperability
100
Improvement activities
40
Cost
75.39

Merit-based Incentive Payment System (MIPS)

Final score
68.51 of 100Reported as group
Quality
56.19
Improvement activities
40
Cost
75.36

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Saratoga Hospital Current Accepting new patients
Saratoga Hospital CurrentSince Jul 1, 2024 Accepting new patients
Saratoga Hospital CurrentSince Jul 1, 2024 Accepting new patients
Saratoga Hospital Past Accepting new patients

Locations

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

19 West Ave
Saratoga Springs, NY 12866
Phone (518) 583-0111

19 West Ave
Ste 101
Saratoga Springs, NY 12866
Phone (518) 587-3438

3044 Route 50
Saratoga Springs, NY 12866
Phone (518) 886-5800

Interoperability endpoints

  • Direct secure messaging: mreback101537@albanymed.direct-ci.com
  • Direct secure messaging: mreback530798@direct.umm.edu

Organizations & group practices 4

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.

Hospital & facility affiliations 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1428019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720656000000",
    "number": "1700271905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 WEST AVE STE 101",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128666052",
            "telephone_number": "518-693-4635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19 WEST AVE",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128666049",
            "telephone_number": "518-693-4635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REBACK",
        "first_name": "MAXWELL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-03",
        "last_updated": "2024-07-11",
        "certification_date": "2024-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CT",
            "license": "68235",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NY",
            "license": "328044",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saratoga Springs, NY

Sources for this page

Verify at the official NPI Registry.