Active NPI
Kenneth Schwartz, MD
- Family Medicine Physician
- Saratoga Springs, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 170260
- Practice address
- 377 Church St
Saratoga Springs, NY 12866-8641 - Phone
- (518) 584-4456
- Fax
- (518) 584-4476
- NPI assigned
- Jul 14, 2006
- Last updated
- May 12, 2021
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 170260 | NY | Primary |
Addresses
Primary practice location
377 Church St
Saratoga Springs, NY 12866-8641
Mailing address
PO Box 14890
SPHP Payer Credentialing
Albany, NY 12212
Phone (518) 591-1121
Other practice location 1
11 Hampstead Pl N Ste 103
Saratoga Springs, NY 12866-5669
Phone (518) 583-7400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01240615 | Other | NY | MEDICAID |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Peter's Health Partners Medical Associates, P.C. | Family Medicine | Current | Accepting new patients |
| Saratoga Emergency Physicians, PC | Past | Accepting new patients | |
| Capital Region Primary Care PLLC | Family Medicine | Past | Accepting new patients |
| S and D Medical, LLP | Past | Accepting new patients | |
| Kenneth Schwartz MD | Family Medicine | Past | Accepting new patients |
Locations
400 Patroon Creek Blvd
Ste 100
Albany, NY 12206
Phone (518) 445-4444
1 Tallow Wood Dr
Clifton Park, NY 12065
Phone (518) 373-4444
713 Troy Schenectady Rd
Ste 304
Latham, NY 12110
Phone (518) 373-4448
2537 State Route 9
Ste 203
Malta, NY 12020
Phone (518) 289-2400
11 Hampstead Pl N
Ste 103
Saratoga Springs, NY 12866
Phone (518) 471-3636
377 Church St
Saratoga Springs, NY 12866
Phone (518) 203-2582
2 New Hampshire Ave
Troy, NY 12180
Phone (518) 272-0331
Interoperability endpoints
- kschwartz150386@direct.trinity-health.org
Organizations & group practices 6
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.
-
- Multi-Specialty Clinic/Center
- Albany, NY
- NPI 1750626834
Family Medicine
-
- Family Medicine Physician
- Malta, NY
- NPI 1164864641
-
- Diagnostic Radiology Physician
- Ellenville, NY
- NPI 1255500047
-
- Hospitalist Physician
- Saratoga Springs, NY
- NPI 1164464749
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620777600000",
"number": "1942226857",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 14890",
"address_2": "SPHP PAYER CREDENTIALING",
"city": "ALBANY",
"state": "NY",
"postal_code": "12212",
"telephone_number": "518-591-1121",
"fax_number": "518-649-4094"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "377 CHURCH ST",
"city": "SARATOGA SPRINGS",
"state": "NY",
"postal_code": "128668641",
"telephone_number": "518-584-4456",
"fax_number": "518-584-4476"
}
],
"practiceLocations": [
{
"address_1": "11 Hampstead Pl N Ste 103",
"address_purpose": "LOCATION",
"city": "Saratoga Springs",
"state": "NY",
"postal_code": "128665669",
"country_code": "US",
"telephone_number": "518-583-7400",
"fax_number": "518-583-4184",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SCHWARTZ",
"first_name": "KENNETH",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-14",
"last_updated": "2021-05-12",
"certification_date": "2021-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "170260",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID",
"identifier": "01240615",
"state": "NY"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "payer.credentialing@sphp.com",
"affiliation": "N",
"endpointDescription": "SPHP Payer Credentialing",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCD",
"address_1": "377 Church St",
"city": "Saratoga Springs",
"state": "NY",
"country_code": "US",
"postal_code": "128668641",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Saratoga Springs, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.