NPIMap

Individual provider Active NPI

Prajesh Mani Ghimire, M.D.

  • Family Medicine Physician
  • Saratoga Springs, NY
National Provider Identifier
1821300401
Registry record updated Aug 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2011-01067 Issued in NC
Practice address
2 Tommy Luther Dr
Saratoga Springs, NY 12866-6054
Phone
(518) 581-0892
NPI assigned
Jul 12, 2010
Last updated
Aug 21, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2011-01067 NC Primary

Addresses

Primary practice location

2 Tommy Luther Dr
Saratoga Springs, NY 12866-6054

Mailing address

113 Deanna CT
Niskayuna, NY 12309-1333
Phone (518) 330-2843

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120503000072 NY Practitioner - Family Practice 5193987949 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Albany Medical CollegeGroup PAC ID 1759293111, 1,054 clinicians

Practice addresses (Care Compare)

47 New Scotland Ave
Albany, NY 12208-3412
Phone (518) 262-5633

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Albany Medical College CurrentSince Mar 28, 2016 Accepting new patients
Albany Medical College CurrentSince Mar 28, 2016 Accepting new patients
Ellis Hospital CurrentSince May 1, 2012 Accepting new patients
Albany Medical College CurrentSince Apr 1, 2019 Accepting new patients
New York Medical Physician Associates PC CurrentSince Oct 1, 2025 Accepting new patients
New York Medical Physician Associates PC Current Accepting new patients
New York Medical Physician Associates PC CurrentSince Oct 1, 2025 Accepting new patients
Albany Medical College Current Accepting new patients
Luminescence Medical PLLC CurrentSince Jun 15, 2024 Accepting new patients
Albany Medical Center Hospital Past Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 350-2663

47 New Scotland Ave
Albany, NY 12208
Phone (518) 262-3773

47 New Scotland Ave
#61
Albany, NY 12208
Phone (518) 262-5791

1202 Troy Schenectady Rd
Ste 2
Latham, NY 12110
Phone (518) 220-9393

1101 Nott St
Schenectady, NY 12308
Phone (518) 243-1916

111 Hospital Dr
Utica, NY 13502
Phone (315) 801-8534

Interoperability endpoints

  • Direct secure messaging: pghimire24829@albanymed.direct-ci.com

Organizations & group practices 10

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 9

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": "1278892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692576000000",
    "number": "1821300401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 DEANNA CT",
            "city": "NISKAYUNA",
            "state": "NY",
            "postal_code": "123091333",
            "telephone_number": "518-330-2843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 TOMMY LUTHER DR",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128666054",
            "telephone_number": "518-581-0892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GHIMIRE",
        "first_name": "PRAJESH",
        "middle_name": "MANI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-12",
        "last_updated": "2023-08-21",
        "certification_date": "2023-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2011-01067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saratoga Springs, NY

Sources for this page

Verify at the official NPI Registry.