Individual provider Active NPI

Philip C. James, MD

  • Pediatrics Physician
  • Saratoga Springs, NY
National Provider Identifier
1821021775
Registry record updated Nov 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
219307 Issued in NY
Practice address
4 Carpenter Lane
Saratoga Springs, NY 12866
Phone
(518) 587-3823
Fax
(518) 587-6677
NPI assigned
Jul 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 219307 NY Primary

Addresses

Primary practice location

4 Carpenter Lane
Saratoga Springs, NY 12866

Mailing address

PO Box 141
154 Warren Street
Glens Falls, NY 12801
Phone (518) 798-9985

Other identifiers 3

IdentifierTypeStateIssuer
10050383OtherNYCDPHP
26952OtherNYMVP HEALTH PLAN
02099989MedicaidNY

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
I20190927002372 NY Practitioner - Pediatric Medicine 5698005015 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
219307NYMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Marys Healthcare CurrentSince Sep 30, 2019 Accepting new patients
St. Mary'S Healthcare CurrentSince Sep 30, 2019 Accepting new patients
St. Mary'S Healthcare Past Accepting new patients
St. Mary'S Healthcare Past Accepting new patients
Glens Falls Pediatric Consultants, PC Pediatrics Past Accepting new patients

Locations

4988 State Highway 30
Amsterdam, NY 12010
Phone (518) 842-3100

380 Guy Park Ave
Amsterdam, NY 12010
Phone (518) 841-7415

427 Guy Park Ave
Amsterdam, NY 12010
Phone (518) 442-1404

700 S Perry St
Johnstown, NY 12095
Phone (518) 736-1004

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353888000000",
    "number": "1821021775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 141",
            "address_2": "154 WARREN STREET",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "12801",
            "telephone_number": "518-798-9985",
            "fax_number": "518-761-7043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 CARPENTER LANE",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "12866",
            "telephone_number": "518-587-3823",
            "fax_number": "518-587-6677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAMES",
        "first_name": "PHILIP",
        "middle_name": "C.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2012-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "219307",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDPHP",
            "identifier": "10050383",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP HEALTH PLAN",
            "identifier": "26952",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02099989",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saratoga Springs, NY

Sources for this page

Verify at the official NPI Registry.