Individual provider Active NPI

Nikki Allmendinger, MD

  • Pediatric Gastroenterology Physician
  • Albany, NY
National Provider Identifier
1841499092
Registry record updated Dec 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Gastroenterology PhysicianTaxonomy code 2080P0206X
License
C7-0004117 Issued in DE
Practice address
47 New Scotland Ave # MC88
Albany Medical Center - the Children's Hospital
Albany, NY 12208-3412
Phone
(518) 262-8831
Fax
(518) 262-6453
NPI assigned
Jul 17, 2007
Last updated
Dec 1, 2011By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Gastroenterology Physician 2080P0206X C7-0004117 DE Primary

Addresses

Primary practice location

47 New Scotland Ave # MC88
Albany Medical Center - the Children's Hospital
Albany, NY 12208-3412

Mailing address

47 New Scotland Ave # MC88
Albany Medical Center - the Children's Hospital
Albany, NY 12208-3412
Phone (518) 262-8831

Other identifiers 2

IdentifierTypeStateIssuer
MT190566OtherPAMD LICENSE
C7-0004117OtherDELICENSE

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
I20101013000567 NY Practitioner - Pediatric MedicinePractitioner - Other (Physician) 6204028970 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
University of Connecticut School of Medicine, 2001
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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C7-0004117DEMDPediatric Gastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Albany Medical College Current Accepting new patients
Albany Medical College CurrentSince Jul 1, 2010 Accepting new patients
Albany Medical College Current Accepting new patients
Albany Medical College CurrentSince May 1, 2019 Accepting new patients
Albany Medical College Current Accepting new patients
Albany Medical College Pediatric Gastroenterology CurrentSince Jul 1, 2010 Accepting new patients
Albany Medical College Current Accepting new patients

Locations

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

47 New Scotland Ave
#88
Albany, NY 12208
Phone (518) 262-5120

Interoperability endpoints

  • Direct secure messaging: nallmendinger22008@albanymed.direct-ci.com

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1184630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322697600000",
    "number": "1841499092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 NEW SCOTLAND AVE # MC88",
            "address_2": "ALBANY MEDICAL CENTER - THE CHILDREN'S HOSPITAL",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122083412",
            "telephone_number": "518-262-8831",
            "fax_number": "518-262-6453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 NEW SCOTLAND AVE # MC88",
            "address_2": "ALBANY MEDICAL CENTER - THE CHILDREN'S HOSPITAL",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122083412",
            "telephone_number": "518-262-8831",
            "fax_number": "518-262-6453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLMENDINGER",
        "first_name": "NIKKI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-17",
        "last_updated": "2011-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0206X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": "DE",
            "license": "C7-0004117",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MD LICENSE",
            "identifier": "MT190566",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "C7-0004117",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.