Active NPI
Patrick F Caulfield, M.D.
- Family Medicine Physician
- Ravena, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 164080
- Practice address
- 2524 Route 9W
Ravena, NY 12413 - Phone
- (518) 756-7390
- Fax
- (518) 756-8030
- NPI assigned
- Oct 26, 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 164080 | NY | Primary |
Addresses
Primary practice location
2524 Route 9W
Ravena, NY 12413
Mailing address
711 Troy Schenectady Rd Ste 203
Latham, NY 12110-2461
Phone (518) 782-3700
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200021 | Other | NY | SENIOR WHOLE HEALTH |
| 070126000063 | Other | NY | FIDELIS |
| 57195 | Other | NY | GHI/HMO |
| 085088 | Other | NY | MVP |
| 10005961 | Other | NY | CDPHP |
| 5585608 | Other | NY | AETNA |
| 00911519 | Medicaid | NY | |
| 000401072012 | Other | NY | BSNENY |
| 52P591 | Other | NY | EMPIRE BC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101209000427 | NY | Practitioner - Family Practice | 4688861149 | Reassigns benefits to 1 organization |
| I20161005001679 | TX | Practitioner - Family Practice | 4688861149 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of New Mexico School of Medicine, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
780 Albany Shaker Rd
Albany, NY 12211-1058
Phone (914) 639-2067
Hospital & facility affiliations
- Community Hospice, Inc, the
- St Peter'S Hospital
- Shaker Place Rehabilitation and Nursing Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| RLD Medical Services, PC | Current | Accepting new patients | |
| DHHS, PHS, Naihs, Shiprock Hospital | Current | Accepting new patients | |
| DHHS, PHS, Naihs, Shiprock Hospital | Current | Accepting new patients | |
| Albany County | Past | Accepting new patients | |
| Community Care Physicians, PLLC | Family Medicine | Past | Accepting new patients |
| Community Care Physicians, PC | Past | Accepting new patients |
Locations
428 State Route 146
Altamont, NY 12009
Phone (518) 861-5141
780 Albany Shaker Rd
Loudonville, NY 12211
Phone (518) 869-2231
228 E Route 59
Nanuet, NY 10954
Phone (718) 280-5436
45 S Route 9W
Ste 41
West Haverstraw, NY 10993
Phone (845) 428-9006
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 and National Provider Directory roles.
-
- General Acute Care Hospital
- Teecnospos, AZ
- NPI 1477615789
-
- Skilled Nursing Facility
- Albany, NY
- NPI 1952309536
-
- Internal Medicine Physician
- Latham, NY
- NPI 1023380714
-
- Family Medicine Physician
- Ballston Spa, NY
- NPI 1548541246
Family Medicine
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Albany, NY
- NPI 1497701106
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1516233600000",
"number": "1992880348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "711 TROY SCHENECTADY RD STE 203",
"city": "LATHAM",
"state": "NY",
"postal_code": "121102461",
"telephone_number": "518-782-3700",
"fax_number": "518-782-3799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2524 ROUTE 9W",
"city": "RAVENA",
"state": "NY",
"postal_code": "12413",
"telephone_number": "518-756-7390",
"fax_number": "518-756-8030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAULFIELD",
"first_name": "PATRICK",
"middle_name": "F",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-26",
"last_updated": "2018-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "164080",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SENIOR WHOLE HEALTH",
"identifier": "200021",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIDELIS",
"identifier": "070126000063",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI/HMO",
"identifier": "57195",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP",
"identifier": "085088",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CDPHP",
"identifier": "10005961",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5585608",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00911519",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BSNENY",
"identifier": "000401072012",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BC",
"identifier": "52P591",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ravena, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2018; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.