Individual provider Active NPI

Krzysztof A Glab, MD

  • Anesthesiology Physician
  • Albany, NY
National Provider Identifier
1962449355
Registry record updated May 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
214569-1 Issued in NY
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

Updated by the provider on May 24, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
02006944MedicaidNY

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
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
214569-1NYMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Troy Anesthesiologists, PC Anesthesiology Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: 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

Verify at the official NPI Registry.