Kathleen M Crisafulli, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

193247 Issued in NY

Practice address

113 Holland Ave
Albany, NY 12208-3410

Phone

(518) 626-5608

NPI assigned

Jun 29, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Ellis Hospital

  • Emergency Medicine Physician
  • Schenectady, NY
  • NPI 1558547034
  Medicare reassignment NPD
• Healthcare Partners of Saratoga LTD

  • Urgent Care Clinic/Center
  • Malta, NY
  • NPI 1700159613
  Medicare reassignment NPD
• Saratoga Hospital

  • Endocrinology, Diabetes & Metabolism Physician
  • Gansevoort, NY
  • NPI 1033371166
  Medicare reassignment NPD
• Saratoga Regional Medical , P.C

  • Nephrology Physician
  • Glens Falls, NY
  • NPI 1982094827
  Medicare reassignment NPD
• Ellis Hospital

  • General Acute Care Hospital
  • Schenectady, NY
  • NPI 1487644993

  Emergency Medicine

  NPD
• Saratoga Hospital

  • Community/Retail Pharmacy
  • Saratoga Springs, NY
  • NPI 1164148110
  NPD
• Saratoga Hospital

  • Primary Care Clinic/Center
  • Schuylerville, NY
  • NPI 1366784886
  NPD
• Saratoga Regional Medical , P.C

  • Multi-Specialty Clinic/Center
  • Ballston Spa, NY
  • NPI 1902545148
  NPD
• Emergency Medicine Physicians of Albany County, PLLC

  • Emergency Medicine Physician
  • Albany, NY
  • NPI 1073552055
  NPD (past)
• Manning Emergency Medical Associates PLLC

  • Emergency Medicine Physician
  • Albany, NY
  • NPI 1720232721
  NPD (past)

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

{
    "created_epoch": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537488000000",
    "number": "1801824644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 HOLLAND AVE",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122083410",
            "telephone_number": "518-626-5608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 HOLLAND AVE",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122083410",
            "telephone_number": "518-626-5608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRISAFULLI",
        "first_name": "KATHLEEN",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-29",
        "last_updated": "2018-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "193247",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01529551",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Crews Wellness-Nurse Practitioner in Adult Health, PLLC
• Reema I Crews, NP
• Alida Crisafulli, PHD., LCSW-R
• Joseph A Crisafulli, D.P.M.
• Justine A. Crisafulli, RN
• Maura Kate Crisafulli, D.O.
• Critical Care Telemedicine, PLLC
• Anita P Crnkovic, M.D.
• Linda Lou Crocker Smith, MD
• Brogan Kentlee Crockett, DO

• Emergency Medicine Physician in Albany, NY
• Providers in Albany, NY by specialty
• Emergency Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.