Justin Kilgore, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

013358 Issued in NY

Practice address

211 Church St
Saratoga Springs, NY 12866-1003

Phone

(518) 587-1141

Fax

(518) 587-1152

NPI assigned

Jul 14, 2009

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Physician Assistant

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Clifton-Fine Healthcare CorporationGroup PAC ID 9739090382, 17 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Clifton-Fine Hospital Hospital, Star Lake, NY, CCN 330799

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Clifton-Fine Healthcare Corporation

  • Rural Acute Care Hospital
  • Star Lake, NY
  • NPI 1235184649
  Medicare reassignment Care Compare group
• Adirondack Medical Center

  • General Practice Physician
  • Saranac Lake, NY
  • NPI 1245446533
  Medicare reassignment NPD
• Adirondack Medical Center

  • Hospitalist Physician
  • Saranac Lake, NY
  • NPI 1487183174
  Medicare reassignment
• Adirondack Medical Center

  • Surgery Physician
  • Saranac Lake, NY
  • NPI 1871359000
  NPD

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

• Clifton-Fine Healthcare Corporation

  • Rural Acute Care Hospital
  • Star Lake, NY
  • NPI 1235184649
  Care Compare affiliation

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

{
    "created_epoch": "1247529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247529600000",
    "number": "1992934756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "454 MAPLE AVE",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128665532",
            "telephone_number": "518-587-1141",
            "fax_number": "518-587-1152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 CHURCH ST",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128661003",
            "telephone_number": "518-587-1141",
            "fax_number": "518-587-1152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILGORE",
        "first_name": "JUSTIN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-14",
        "last_updated": "2009-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "013358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kerry Kapper Fay, Inc.
• Margaret A. Kestler, PA
• Sana I Khan
• Shahid Mushtaq Khan, M.D.
• Sambhavna Khanna, D.D.S.
• Jeff J Kim
• Richard K Kim, MD
• Randall Mark Kimball II, M.D.
• Sean L Kimball, DO
• Kind-ER Touch Physical Therapy, PLLC

• Physician Assistant in Saratoga Springs, NY
• Providers in Saratoga Springs, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2009; 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.

Verify at the official NPI Registry.