Active NPI
Erik D Istre, MD
- Neurology Physician
- Queensbury, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 283636
- Practice address
- 161 Carey Rd
Queensbury, NY 12804-7821 - Phone
- (518) 824-8610
- Fax
- (518) 824-2390
- NPI assigned
- Jun 17, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 283636 | NY | |
| Neurology Physician | 2084N0400X | 283636 | NY | Primary |
Addresses
Primary practice location
161 Carey Rd
Queensbury, NY 12804-7821
Mailing address
9 Carey Rd
Queensbury, NY 12804-7880
Phone (518) 761-0300
Other practice location 1
63 Shaker Rd Ste G01
Albany, NY 12204-1030
Phone (518) 429-2561
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04529053 | Medicaid | NY |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | payer.credentialing@sphp.com | Direct |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
63 Shaker Rd
Suite G01
Albany, NY 12204-1030
Phone (518) 213-1443
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 283636 | NY | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saratoga Hospital | Current | Accepting new patients | |
| Saratoga Hospital | Current | Accepting new patients | |
| Saratoga Hospital | Current | Accepting new patients | |
| St. Peter's Health Partners Medical Associates, P.C. | Current | Accepting new patients | |
| St. Peter's Health Partners Medical Associates, P.C. | Past | Accepting new patients |
Locations
63 Shaker Rd
Ste G01
Albany, NY 12204
Phone (518) 391-2973
161 Carey Rd
Queensbury, NY 12804
Phone (518) 480-0011
1 West Ave
Ste 300
Saratoga Springs, NY 12866
Phone (518) 693-4699
3044 Route 50
Saratoga Springs, NY 12866
Phone (518) 886-5800
2 New Hampshire Ave
Troy, NY 12180
Phone (518) 272-0331
Interoperability endpoints
- eistre834182@direct.trinity-health.org
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.
-
- Multi-Specialty Clinic/Center
- Albany, NY
- NPI 1750626834
-
- Endocrinology, Diabetes & Metabolism Physician
- Gansevoort, NY
- NPI 1033371166
-
dba The Community Pharmacy at Saratoga Hospital
- Community/Retail Pharmacy
- Saratoga Springs, NY
- NPI 1164148110
-
- Family Medicine Physician
- Saratoga SPGS, NY
- NPI 1881924322
-
- Pediatrics Physician
- Slingerlands, NY
- NPI 1669717260
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Glens Falls, NY
- NPI 1871606764
-
- General Acute Care Hospital
- Troy, NY
- NPI 1043267727
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620604800000",
"number": "1912228669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 CAREY RD",
"city": "QUEENSBURY",
"state": "NY",
"postal_code": "128047880",
"telephone_number": "518-761-0300",
"fax_number": "518-824-2388"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "161 CAREY RD",
"city": "QUEENSBURY",
"state": "NY",
"postal_code": "128047821",
"telephone_number": "518-824-8610",
"fax_number": "518-824-2390"
}
],
"practiceLocations": [
{
"address_1": "63 Shaker Rd Ste G01",
"address_purpose": "LOCATION",
"city": "Albany",
"state": "NY",
"postal_code": "122041030",
"country_code": "US",
"telephone_number": "518-429-2561",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ISTRE",
"first_name": "ERIK",
"middle_name": "D",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-06-17",
"last_updated": "2021-05-10",
"certification_date": "2021-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "283636",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NY",
"license": "283636",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04529053",
"state": "NY"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "payer.credentialing@sphp.com",
"affiliation": "N",
"endpointDescription": "SPH Payer Credentialing",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCD",
"address_1": "63 Shaker Rd Ste G01",
"city": "Albany",
"state": "NY",
"country_code": "US",
"postal_code": "122041030",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Queensbury, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.