Individual provider Active NPI

Patrick F Caulfield, M.D.

  • Family Medicine Physician
  • Ravena, NY
National Provider Identifier
1992880348
Registry record updated Jan 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
164080 Issued in NY
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

Updated by the provider on Jan 18, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
200021OtherNYSENIOR WHOLE HEALTH
070126000063OtherNYFIDELIS
57195OtherNYGHI/HMO
085088OtherNYMVP
10005961OtherNYCDPHP
5585608OtherNYAETNA
00911519MedicaidNY
000401072012OtherNYBSNENY
52P591OtherNYEMPIRE BC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
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
RLD Medical Services PCGroup PAC ID 0749179141, 5 clinicians

Practice addresses (Care Compare)

780 Albany Shaker Rd
Albany, NY 12211-1058
Phone (914) 639-2067

Hospital & facility affiliations

  • Community Hospice, Inc, the Hospice, Albany, NY, CCN 331501
  • St Peter'S Hospital Hospital, Albany, NY, CCN 330057
  • Shaker Place Rehabilitation and Nursing Center Nursing home, Albany, NY, CCN 335425

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
RLD Medical Services, PC CurrentSince Sep 10, 2020 Accepting new patients
DHHS, PHS, Naihs, Shiprock Hospital CurrentSince Aug 29, 2016 Accepting new patients
DHHS, PHS, Naihs, Shiprock Hospital CurrentSince Aug 29, 2016 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.

Hospital & facility affiliations 4

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": "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

Verify at the official NPI Registry.