Individual provider Active NPI

Elizabeth Kreuter

  • Obstetrics & Gynecology Physician
  • Latham, NY
National Provider Identifier
1700326766
Registry record updated Feb 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
F3413801 Issued in NY
Practice address
585 New Loudon Rd
Latham, NY 12110-5701
Phone
(518) 783-1472
Fax
(518) 783-1605
NPI assigned
Feb 24, 2017
Last updated
Feb 24, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X F3413801 NY Primary

Addresses

Primary practice location

585 New Loudon Rd
Latham, NY 12110-5701

Mailing address

585 New Loudon Rd
Latham, NY 12110-5701
Phone (518) 783-1472

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170518002591 NY Practitioner - Nurse Practitioner 5496022642 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Humera S Syeda MDPCGroup PAC ID 6204376718, 3 clinicians

Practice addresses (Care Compare)

107 A Everett Rd
Albany, NY 12205-1475
Phone (518) 808-4924

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F3413801NYMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
W Bruce Clark MD PC Obstetrics & Gynecology CurrentSince May 8, 2017 Accepting new patients
Humera S Syeda MDPC Obstetrics & Gynecology CurrentSince Oct 1, 2024 Accepting new patients
McGinnis Womens Medical Care, PC Obstetrics & Gynecology PastSince Oct 1, 2024 Accepting new patients

Locations

107 Everett Rd
#A
Albany, NY 12205
Phone (518) 808-4924

107 Everett Rd
Ste A
Albany, NY 12205

585 New Loudon Rd
Latham, NY 12110
Phone (518) 783-1472

Interoperability endpoints

  • Direct secure messaging: elizabethkreuternp@hssmdpc.medentdirect.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1487894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487894400000",
    "number": "1700326766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "585 NEW LOUDON RD",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121105701",
            "telephone_number": "518-783-1472",
            "fax_number": "518-783-1605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "585 NEW LOUDON RD",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121105701",
            "telephone_number": "518-783-1472",
            "fax_number": "518-783-1605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREUTER",
        "first_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-24",
        "last_updated": "2017-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "F3413801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Latham, NY

Sources for this page

Verify at the official NPI Registry.