Active NPI
Krzysztof A Glab, MD
- Anesthesiology Physician
- Albany, NY
National Provider Identifier
1962449355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 214569-1
- Practice address
- 1450 Western Ave
Suite 102
Albany, NY 12203-3539 - Phone
- (518) 463-0050
- Fax
- (518) 207-2973
- NPI assigned
- Jun 2, 2006
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 214569-1 | NY | Primary |
Addresses
Primary practice location
1450 Western Ave
Suite 102
Albany, NY 12203-3539
Mailing address
1450 Western Ave
Suite 102
Albany, NY 12203-3539
Phone (518) 463-0050
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02006944 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 214569-1 | NY | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Troy Anesthesiologists, PC | Anesthesiology | Past | Accepting new patients |
Interoperability endpoints
- kglab788640@direct.trinity-health.org
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464048000000",
"number": "1962449355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1450 WESTERN AVE",
"address_2": "SUITE 102",
"city": "ALBANY",
"state": "NY",
"postal_code": "122033539",
"telephone_number": "518-463-0050",
"fax_number": "518-207-2973"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1450 WESTERN AVE",
"address_2": "SUITE 102",
"city": "ALBANY",
"state": "NY",
"postal_code": "122033539",
"telephone_number": "518-463-0050",
"fax_number": "518-207-2973"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLAB",
"first_name": "KRZYSZTOF",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-02",
"last_updated": "2016-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NY",
"license": "214569-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02006944",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Albany, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2016; 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.