NPIMap

Organization Active NPI

Saratoga Hospital

  • Family Medicine Physician
  • Saratoga SPGS, NY
National Provider Identifier
1881924322
Registry record updated Apr 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
SARATOGA HOSPITAL
Practice address
3044 Route 50
Saratoga SPGS, NY 12866-2906
Phone
(518) 886-5800
Fax
(518) 886-5805
NPI assigned
Jan 6, 2010
Last updated
Apr 1, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
SARATOGA HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 1, 2021

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

Authorized official

Name
Kathleen Stahura
Title
Director
Phone
(518) 583-8346

Specialties & licenses 11

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X
Nursing Care Agency 251J00000X
Ambulatory Surgical Clinic/Center 261QA1903X
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
Podiatric Clinic/Center 261QP1100X
Primary Care Clinic/Center 261QP2300X
Ophthalmologic Surgery Clinic/Center 261QS0132X
Sleep Disorder Diagnostic Clinic/Center 261QS1200X
Psychiatric Hospital Unit 273R00000X
General Acute Care Hospital 282N00000X

Addresses

Primary practice location

3044 Route 50
Saratoga SPGS, NY 12866-2906

Mailing address

PO Box 412655
Boston, MA 02241-2655

Other practice location 1

131 Lawrence St
Saratoga Springs, NY 12866-1399
Phone (518) 587-3600

Other practice location 2

3065 Route 50 Ste 30
Saratoga Springs, NY 12866-2920
Phone (518) 886-7568

Other practice location 3

100 Park St
Glens Falls, NY 12801-4447
Phone (518) 926-1000

Other practice location 4

5344 Sacandaga Rd
Galway, NY 12074-2422
Phone (518) 882-6955

Other practice location 5

6 Medical Park Dr Ste 205
Malta, NY 12020-5053
Phone (518) 583-0111

Other practice location 6

200 Broad St
Schuylerville, NY 12871-1024
Phone (518) 695-3668

Other practice location 7

6 Care Ln
Saratoga Springs, NY 12866-8651
Phone (518) 693-4629

Other practice location 8

119 Lawrence St
Saratoga Springs, NY 12866-1346
Phone (518) 886-5060

Other practice location 9

119 Lawrence St
Saratoga Springs, NY 12866-1346
Phone (518) 584-4361

Other practice location 10

3050 Route 50
Saratoga Springs, NY 12866-2958
Phone (518) 693-4400

Other practice location 11

3065 Route 50 Ste 30
Saratoga Springs, NY 12866-2920
Phone (518) 584-1590

Other practice location 12

19 West Ave
Saratoga Springs, NY 12866-6049
Phone (518) 693-4635

Other practice location 13

8 Medical Park Dr
Malta, NY 12020-5050
Phone (518) 693-4635

Other practice location 14

8 Medical Park Dr Ste 100
Malta, NY 12020-5050
Phone (518) 289-2775

Other practice location 15

8 Medical Park Dr Ste 202
Malta, NY 12020-5050
Phone (518) 581-1415

Other practice location 16

202 S Central Ave
Mechanicville, NY 12118-3522
Phone (518) 580-2099

Other practice location 17

161 Carey Rd
Queensbury, NY 12804-7821
Phone (518) 932-0242

Other practice location 18

3050 Route 50
Saratoga Springs, NY 12866-2958
Phone (518) 693-4400

Other practice location 19

211 Church St
Saratoga Springs, NY 12866-1090
Phone (518) 587-3222

Other practice location 20

19 West Ave Ste 103
Saratoga Springs, NY 12866-6052
Phone (518) 583-0111

Other names 1

  • SARATOGA FAMILY PHYSICIANS Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040212000003 NY Part A Provider - Hospital 6406740273 17 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
O20040402000837 NY Part B Supplier - Clinic/Group Practice 6406740273 Receives reassigned benefits from 613 practitioners
11 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Saratoga Springs, NY; Schuylerville, NY; Wilton, NY; Queensbury, NY; Saratoga, NY; Ballston Spa, NY; Galway, NY; Gansevoort, NY…

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1881924322. Details of each certification follow.

Hospital certification: CCN 330222

Legal name
SARATOGA HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Mar 14, 2025
Beds
171
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Dec 16, 1891 in NY
Enrollment address
211 Church St
Saratoga Springs, NY 12866-1003
Other Hospital Practice Location
Hospital subgroups
Acute care

Other NPIs on the same Medicare enrollment 20

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 20

Care Compare: Hospital

Medicare Care Compare
Listed as
Saratoga HospitalCCN 330222 · All quality measures
Overall star rating
3 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Part of
Saratoga Hospital

Locations

8 Medical Park Dr
Malta, NY 12020
Phone (518) 289-2775

3050 Route 50
Ste 2
Saratoga Springs, NY 12866
Phone (518) 886-5112

Ownership & related parties

All disclosed owners & managing parties 22

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Kathleen a Stahura Individual Corporate DirectorDirector of PFS Mar 9, 1998
W-2 Managing EmployeeDirector, Patient Financial Serv Mar 9, 1998
Jill J Vankuren Individual Corporate DirectorPresident & Chief Executive Offi Sep 19, 2022
Margaret Smith Cassier Individual Corporate Officer Jan 1, 2023
Dennis P McKenna Individual Corporate OfficerBoard Member Jan 1, 2023
Heather Ward Individual Corporate OfficerBoard Member Jan 1, 2017
Albany Med Health System Organization, Albany, NY Corporation, Non-profit Operational/Managerial Control Jan 1, 2017
Thomas J Roohan Individual Corporate Officer Jan 1, 2018
Susan L Dake Individual Corporate Officer Jan 1, 2018
Michael Trimarchi Individual Corporate Officer Jan 1, 2023
Elizabeth Wood-Pustolka Individual Corporate Officer Jan 1, 2020
Christopher Jenkins Individual Corporate Director Apr 1, 2023
W-2 Managing Employee Apr 1, 2023
Patricia Gavis Individual Contracted Managing EmployeeVP & Cfo Jun 1, 2023
Corporate OfficerVP & Cfo Jun 1, 2023
Corporate Director Jun 1, 2023
W-2 Managing EmployeeVP & Cfo Jun 1, 2023
Michael Billok Individual Corporate Officer Jul 1, 2023
Frank L Messa Individual Corporate OfficerBoard Member Jan 1, 2015
Kim Hedley Individual Corporate Officer Jul 1, 2023
Raimundo C Archibold Individual Corporate Officer Jan 1, 2020
Elizabeth Sobol Individual Corporate Officer Jul 1, 2023
Saratoga Care, Inc. Organization, Saratoga Springs, NY Corporation, Non-profit Operational/Managerial Control Jan 1, 2017
Dwane Sterling Individual Corporate Officer Jul 1, 2023
Marianne a Mustafa Individual Corporate OfficerBoard Member Jan 1, 2017
David Collins Individual Corporate Officer Jan 1, 2020
Kari Cushing Individual Corporate Officer Jan 1, 2020

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 259

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 259

Affiliated clinicians 888

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 888

NPI Registry JSON

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

{
    "created_epoch": "1262736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617235200000",
    "number": "1881924322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 412655",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022412655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3044 ROUTE 50",
            "city": "SARATOGA SPGS",
            "state": "NY",
            "postal_code": "128662906",
            "telephone_number": "518-886-5800",
            "fax_number": "518-886-5805"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "131 Lawrence St",
            "address_purpose": "LOCATION",
            "city": "Saratoga Springs",
            "state": "NY",
            "postal_code": "128661399",
            "country_code": "US",
            "telephone_number": "518-587-3600",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3065 Route 50 Ste 30",
            "address_purpose": "LOCATION",
            "city": "Saratoga Springs",
            "state": "NY",
            "postal_code": "128662920",
            "country_code": "US",
            "telephone_number": "518-886-7568",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Park St",
            "address_purpose": "LOCATION",
            "city": "Glens Falls",
            "state": "NY",
            "postal_code": "128014447",
            "country_code": "US",
            "telephone_number": "518-926-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5344 Sacandaga Rd",
            "address_purpose": "LOCATION",
            "city": "Galway",
            "state": "NY",
            "postal_code": "120742422",
            "country_code": "US",
            "telephone_number": "518-882-6955",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6 Medical Park Dr Ste 205",
            "address_purpose": "LOCATION",
            "city": "Malta",
            "state": "NY",
            "postal_code": "120205053",
            "country_code": "US",
            "telephone_number": "518-583-0111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Broad St",
            "address_purpose": "LOCATION",
            "city": "Schuylerville",
            "state": "NY",
            "postal_code": "128711024",
            "country_code": "US",
            "telephone_number": "518-695-3668",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6 Care Ln",
            "address_purpose": "LOCATION",
            "city": "Saratoga Springs",
            "state": "NY",
            "postal_code": "128668651",
            "country_code": "US",
            "telephone_number": "518-693-4629",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "119 Lawrence St",
            "address_purpose": "LOCATION",
            "city": "Saratoga Springs",
            "state": "NY",
            "postal_code": "128661346",
            "country_code": "US",
            "telephone_number": "518-886-5060",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "119 Lawrence St",
            "address_purpose": "LOCATION",
            "city": "Saratoga Springs",
            "state": "NY",
            "postal_code": "128661346",
            "country_code": "US",
            "telephone_number": "518-584-4361",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3050 Route 50",
            "address_purpose": "LOCATION",
            "city": "Saratoga Springs",
            "state": "NY",
            "postal_code": "128662958",
            "country_code": "US",
            "telephone_number": "518-693-4400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3065 Route 50 Ste 30",
            "address_purpose": "LOCATION",
            "city": "Saratoga Springs",
            "state": "NY",
            "postal_code": "128662920",
            "country_code": "US",
            "telephone_number": "518-584-1590",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "19 West Ave",
            "address_purpose": "LOCATION",
            "city": "Saratoga Springs",
            "state": "NY",
            "postal_code": "128666049",
            "country_code": "US",
            "telephone_number": "518-693-4635",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8 Medical Park Dr",
            "address_purpose": "LOCATION",
            "city": "Malta",
            "state": "NY",
            "postal_code": "120205050",
            "country_code": "US",
            "telephone_number": "518-693-4635",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8 Medical Park Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Malta",
            "state": "NY",
            "postal_code": "120205050",
            "country_code": "US",
            "telephone_number": "518-289-2775",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8 Medical Park Dr Ste 202",
            "address_purpose": "LOCATION",
            "city": "Malta",
            "state": "NY",
            "postal_code": "120205050",
            "country_code": "US",
            "telephone_number": "518-581-1415",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "202 S Central Ave",
            "address_purpose": "LOCATION",
            "city": "Mechanicville",
            "state": "NY",
            "postal_code": "121183522",
            "country_code": "US",
            "telephone_number": "518-580-2099",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "161 Carey Rd",
            "address_purpose": "LOCATION",
            "city": "Queensbury",
            "state": "NY",
            "postal_code": "128047821",
            "country_code": "US",
            "telephone_number": "518-932-0242",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3050 Route 50",
            "address_purpose": "LOCATION",
            "city": "Saratoga Springs",
            "state": "NY",
            "postal_code": "128662958",
            "country_code": "US",
            "telephone_number": "518-693-4400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "211 Church St",
            "address_purpose": "LOCATION",
            "city": "Saratoga Springs",
            "state": "NY",
            "postal_code": "128661090",
            "country_code": "US",
            "telephone_number": "518-587-3222",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "19 West Ave Ste 103",
            "address_purpose": "LOCATION",
            "city": "Saratoga Springs",
            "state": "NY",
            "postal_code": "128666052",
            "country_code": "US",
            "telephone_number": "518-583-0111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SARATOGA HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SARATOGA HOSPITAL",
        "enumeration_date": "2010-01-06",
        "last_updated": "2021-04-01",
        "certification_date": "2021-04-01",
        "status": "A",
        "authorized_official_last_name": "STAHURA",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "518-583-8346"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QS0132X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ophthalmologic Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SARATOGA FAMILY PHYSICIANS",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "SARATOGA FAMILY PHYSICIANS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Saratoga SPGS, NY

Sources for this page

Verify at the official NPI Registry.