Individual provider Active NPI

Elizabeth K. B. Buck, MD

  • Internal Medicine Physician
  • Saranac Lake, NY
National Provider Identifier
1790759017
Registry record updated Mar 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
199807 Issued in NY
Practice address
2249 State Route 86 Ste 3
Saranac Lake, NY 12983-5646
Phone
(518) 891-3845
Fax
(518) 891-1236
NPI assigned
Feb 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 199807 NY
Internal Medicine Physician 207R00000X 199807 NY Primary

Addresses

Primary practice location

2249 State Route 86 Ste 3
Saranac Lake, NY 12983-5646

Mailing address

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

Other practice location 1

7 Stetson Rd
Tupper Lake, NY 12986-2014
Phone (518) 359-7222

Other identifiers 1

IdentifierTypeStateIssuer
01581346MedicaidNY

Other names 1

  • Elizabeth K Beiser Former name

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address elizabeth.buck.1@1823.direct.athenahealth.com
Direct Messaging Address elizabeth.buck.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
I20100317000084 NY Practitioner - Internal MedicinePractitioner - Pediatric Medicine 4587799531 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
Indiana University School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hudson Headwaters Health NetworkGroup PAC ID 7416861208, 221 clinicians

Practice addresses (Care Compare)

3767 Main St
Warrensburg, NY 12885-1837
Phone (518) 623-2844

Hospital & facility affiliations

  • Adirondack Medical Center - Saranac Lake Hospital, Saranac Lake, NY, CCN 330079

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
199807NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hudson Headwaters Health Network Internal Medicine CurrentSince Aug 24, 2020 Accepting new patients
Hudson Headwaters Health Network Pediatrics CurrentSince Aug 24, 2020 Accepting new patients
Hudson Headwaters Health Network Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

9 Carey Rd
Queensbury, NY 12804

2249 State Route 86
Ste 3
Saranac Lake, NY 12983
Phone (518) 891-3845

7 Stetson Rd
Tupper Lake, NY 12986
Phone (518) 359-7000

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

Interoperability endpoints

  • Direct secure messaging: elizabeth.buck.1@1823.direct.athenahealth.com

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773273600000",
    "number": "1790759017",
    "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": "2249 STATE ROUTE 86 STE 3",
            "city": "SARANAC LAKE",
            "state": "NY",
            "postal_code": "129835646",
            "telephone_number": "518-891-3845",
            "fax_number": "518-891-1236"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7 Stetson Rd",
            "address_purpose": "LOCATION",
            "city": "Tupper Lake",
            "state": "NY",
            "postal_code": "129862014",
            "country_code": "US",
            "telephone_number": "518-359-7222",
            "fax_number": "518-359-7664",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUCK",
        "first_name": "ELIZABETH",
        "middle_name": "K. B.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-14",
        "last_updated": "2026-03-12",
        "certification_date": "2026-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "199807",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "199807",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01581346",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "elizabeth.buck.1@1823.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "7 Stetson Rd",
            "city": "Tupper Lake",
            "state": "NY",
            "country_code": "US",
            "postal_code": "129862014",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "elizabeth.buck.1@1823.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "2249 State Route 86 Ste 3",
            "city": "Saranac Lake",
            "state": "NY",
            "country_code": "US",
            "postal_code": "129835646",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "BEISER",
            "middle_name": "K",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Saranac Lake, NY

Sources for this page

Verify at the official NPI Registry.