Individual provider Active NPI

Charles Kite Jr., PA-C

  • Physician Assistant
  • West Coxsackie, NY
National Provider Identifier
1972057750
Registry record updated Aug 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
019973-1 Issued in NY
Practice address
11835 9W
West Coxsackie, NY 12192-3605
Phone
(518) 731-9000
NPI assigned
Aug 9, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 019973-1 NY Primary

Addresses

Primary practice location

11835 9W
West Coxsackie, NY 12192-3605

Mailing address

5 Green Meadows LN
Loudonville, NY 12211-1905
Phone (518) 438-0359

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161013000792 NY Practitioner - Physician Assistant 8729376454 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Albany Medical CollegeGroup PAC ID 1759293111, 1,054 clinicians

Practice addresses (Care Compare)

115 Saratoga Rd
Suite 110
Glenville, NY 12302-4210
Phone (518) 264-2900

11835 RT
9W
West Coxsackie, NY 12192-3605
Phone (518) 264-4600

1400 Altamont Ave
Schenectady, NY 12303-2909
Phone (518) 264-4600

1769 Union St
Niskayuna, NY 12309-6311
Phone (518) 264-4733

329 Glenmont Rd
Glenmont, NY 12077-3469
Phone (518) 264-4603

5 New Karner Rd
Guilderland, NY 12084-9112
Phone (518) 264-4600

730 Hoosick Rd
Troy, NY 12180-8777
Phone (518) 264-3200

Hospital & facility affiliations

  • Albany Medical Center Hospital Hospital, Albany, NY, CCN 330013

Merit-based Incentive Payment System (MIPS)

Final score
87.78 of 100Reported as group
Quality
77.53
Promoting interoperability
100
Improvement activities
40
Cost
76.35

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
019973NYMDClinical Psychologist
019973-1NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Albany Medical College CurrentSince Aug 23, 2016 Accepting new patients
Columbia Memorial Hospital CurrentSince Feb 1, 2025 Accepting new patients
Columbia Memorial Hospital CurrentSince Feb 1, 2025 Accepting new patients
Albany Medical College CurrentSince Aug 23, 2016 Accepting new patients
Albany Medical College CurrentSince Aug 23, 2016 Accepting new patients
Albany Medical College Physician Assistant Past Accepting new patients
Columbia Memorial Hospital Past Accepting new patients

Locations

98 Wolf Rd
Ste 16
Albany, NY 12205
Phone (518) 264-9500

10 Grandview Ave
Catskill, NY 12414
Phone (518) 943-9100

1019 New Loudon Rd
Cohoes, NY 12047
Phone (518) 262-7500

283 Mountain View Rd
#2
Copake, NY 12516
Phone (518) 758-7786

329 Glenmont Rd
Glenmont, NY 12077
Phone (518) 264-4603

100 Park St
Glens Falls, NY 12801
Phone (518) 926-5924

5 New Karner Rd
Guilderland, NY 12084
Phone (518) 869-8007

71 Prospect Ave
Hudson, NY 12534
Phone (518) 262-3773

7 Price Chopper Plz
Mechanicville, NY 12118

2976 Route 9W
Saugerties, NY 12477
Phone (518) 264-9400

1400 Altamont Ave
Schenectady, NY 12303
Phone (518) 356-1131

1769 Union St
Ste 1
Schenectady, NY 12309
Phone (518) 264-4733

115 Saratoga Rd
Ste 110
Schenectady, NY 12302
Phone (518) 264-2900

730 Hoosick Rd
Troy, NY 12180
Phone (518) 264-3200

2827 US Highway 9
Valatie, NY 12184
Phone (518) 828-7601

11835 Route 9W
West Coxsackie, NY 12192
Phone (518) 731-9000

Interoperability endpoints

  • Direct secure messaging: ckite33635@albanymed.direct-ci.com

Organizations & group practices 7

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1470700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470700800000",
    "number": "1972057750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 GREEN MEADOWS LN",
            "city": "LOUDONVILLE",
            "state": "NY",
            "postal_code": "122111905",
            "telephone_number": "518-438-0359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11835 9W",
            "city": "WEST COXSACKIE",
            "state": "NY",
            "postal_code": "121923605",
            "telephone_number": "518-731-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KITE",
        "first_name": "CHARLES",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-08-09",
        "last_updated": "2016-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "019973-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Coxsackie, NY

Sources for this page

Verify at the official NPI Registry.