NPIMap

Individual provider Active NPI

Gregory A. Kelly, M.D.

  • Cardiovascular Disease Physician
  • Queensbury, NY
National Provider Identifier
1982606984
Registry record updated Jul 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
216846 Issued in NY
Practice address
6 Hearts Way
Adirondack Cardiology
Queensbury, NY 12804-5925
Phone
(518) 792-1233
Fax
(518) 792-6854
NPI assigned
Aug 10, 2005
Sex
Male
Sole proprietor
No

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.

Hospital & facility affiliations 26

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

View all 26

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Glens Falls Hospital Inc 175 clinicians

Practice addresses (Care Compare)

100 Park St
Glens Falls, NY 12801-4413
Phone (518) 926-1000

1134 State Route 29
Greenwich, NY 12834-6107
Phone (518) 692-9861

13 Palmer Ave
Corinth, NY 12822-1145
Phone (518) 654-6499

325 Main St
Hudson Falls, NY 12839-1512
Phone (518) 747-3376

35 Gilbert St
Cambridge, NY 12816-2618
Phone (518) 677-3961

6 Hearts Way
Adirondack Cardiology
Queensbury, NY 12804-5925
Phone (518) 792-1233

79 N St
Granville Medical Center
Granville, NY 12832-1137
Phone (518) 642-0612

Hospital & facility affiliations

  • Glens Falls Hospital Hospital, Glens Falls, NY, CCN 330191
  • Saratoga Hospital Hospital, Saratoga Springs, NY, CCN 330222
  • Elizabethtown Community Hospital Hospital, Elizabethtown, NY, CCN 331302
  • Albany Medical Center Hospital Hospital, Albany, NY, CCN 330013

Merit-based Incentive Payment System (MIPS)

Final score
88.88 of 100Reported as apm
Quality
71.44
Promoting interoperability
97.95
Improvement activities
40

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040907000159 NY Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 6901872548 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Glens Falls Hospital Inc. Cardiovascular Disease CurrentSince Jan 23, 2012 Accepting new patients
Glens Falls Hospital Inc CurrentSince Jan 23, 2012 Accepting new patients
Paul E Lemanski MD PLLC Past Accepting new patients

Locations

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

2 Broad Street Plz
Glens Falls, NY 12801
Phone (518) 793-0519

79 North St
Granville, NY 12832
Phone (518) 642-0612

6 Hearts Way
Queensbury, NY 12804
Phone (518) 792-1233

Interoperability endpoints

  • Direct secure messaging: gkelly99673@albanymed.direct-ci.com

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 216846 NY Primary

Addresses

NPPES NPI Registry

Primary practice location

6 Hearts Way
Adirondack Cardiology
Queensbury, NY 12804-5925

Mailing address

100 Park Street
Glens Falls Hospital - Credentialing
Glens Falls, NY 12801-0304
Phone (518) 926-5924

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
02073765MedicaidNY
1008137MedicaidVT

Electronic endpoints 1

NPPES NPI Registry
TypeEndpointUseAffiliation
Direct Messaging Address gregory.kelly@cdirectglensfallshosp.org

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 29, 2021.

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627516800000",
    "number": "1982606984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PARK STREET",
            "address_2": "GLENS FALLS HOSPITAL - CREDENTIALING",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128010304",
            "telephone_number": "518-926-5924",
            "fax_number": "518-926-6983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 HEARTS WAY",
            "address_2": "ADIRONDACK CARDIOLOGY",
            "city": "QUEENSBURY",
            "state": "NY",
            "postal_code": "128045925",
            "telephone_number": "518-792-1233",
            "fax_number": "518-792-6854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLY",
        "first_name": "GREGORY",
        "middle_name": "A.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-10",
        "last_updated": "2021-07-29",
        "certification_date": "2021-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "216846",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02073765",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1008137",
            "state": "VT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gregory.kelly@cdirectglensfallshosp.org",
            "affiliation": "N",
            "address_1": "6 Hearts Way",
            "address_2": "Adirondack Cardiology",
            "city": "Queensbury",
            "state": "NY",
            "country_code": "US",
            "postal_code": "128045925",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Queensbury, NY

Sources for this page

Verify at the official NPI Registry.