Individual provider Active NPI

Katie Ann Pivarnik, MD

  • Obstetrics & Gynecology Physician
  • Albany, NY
National Provider Identifier
1770014169
Registry record updated Sep 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
T288592 Issued in MA
Practice address
47 New Scotland Ave
Dept. of OB/GYN
Albany, NY 12208-3412
Phone
(518) 264-5026
NPI assigned
Mar 27, 2017
Last updated
Sep 29, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2021

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 T288592 MA Primary

Addresses

Primary practice location

47 New Scotland Ave
Dept. of OB/GYN
Albany, NY 12208-3412

Mailing address

300 Congress St
Ste 102
Quincy, MA 02169-0907
Phone (617) 471-1161

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20211004001354 MA Practitioner - Obstetrics/Gynecology 3072858588 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Warren Alpert Medical School of Brown University, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Crown Obstetrics and Gynecology PCGroup PAC ID 9436148517, 12 clinicians

Practice addresses (Care Compare)

300 Congress St
Quincy, MA 02169-0907
Phone (617) 471-1161

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.97 of 100Reported as group
Quality
100
Improvement activities
40
Cost
76.56

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
South Shore Hospital Inc. Past Accepting new patients
Crown Obstetrics and Gynecology Obstetrics & Gynecology PastSince Aug 25, 2021 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: katiepivarnik@cog.allscriptsdirect.net

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1490572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632873600000",
    "number": "1770014169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 CONGRESS ST",
            "address_2": "STE 102",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021690907",
            "telephone_number": "617-471-1161",
            "fax_number": "617-376-0435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 NEW SCOTLAND AVE",
            "address_2": "DEPT. OF OB/GYN",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122083412",
            "telephone_number": "518-264-5026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIVARNIK",
        "first_name": "KATIE",
        "middle_name": "ANN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-27",
        "last_updated": "2021-09-29",
        "certification_date": "2021-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MA",
            "license": "T288592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.