BURNT HILLS PEDIATRICS & INTERNAL MEDICINE
NPI 1134403561
Internal Medicine in Ballston Lake, NY

NPI Status: Active since October 04, 2011

Contact Information

1184 STATE ROUTE 50
BALLSTON LAKE, NY
ZIP 12019
Phone: (518) 384-1281
Fax: (518) 384-0321

Get Directions Write a Review

  • Organization
  • Internal Medicine
  • CLIA Number: 33D0938685
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 03-15-2027

About BURNT HILLS PEDIATRICS & INTERNAL MEDICINE

This page provides the complete NPI Profile along with additional information for Burnt Hills Pediatrics & Internal Medicine, an internist established in Ballston Lake, New York operating as a Internal Medicine. The healthcare provider is registered in the NPI registry with number 1134403561 assigned on October 2011. The practitioner's primary taxonomy code is 207R00000X with license number 184003 (NY). The provider is registered as an organization and their NPI record was last updated 15 years ago. Burnt Hills Pediatrics & Internal Medicine operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Burnt Hills Pediatrics & Internal Medicine. The authorized official of this NPI record is Diane M Stamas (Senior Credentialing Coordinator)

NPI
1134403561
Provider Legal Name
COMMUNITY CARE PHYSICIANS, PC
Other Organization Name
BURNT HILLS PEDIATRICS & INTERNAL MEDICINE
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1184 STATE ROUTE 50 BALLSTON LAKE, NY 12019
Location Phone
(518) 384-1281
Location Fax
(518) 384-0321
Mailing Address
711 TROY SCHENECTADY RD SUITE 203 LATHAM, NY 12110
Mailing Phone
(518) 782-3799
Mailing Fax
(518) 782-3799
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-04-2011
Last Update Date
10-14-2011
Code Navigator

An internist like Burnt Hills Pediatrics & Internal Medicine is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine

Taxonomy Code
207R00000X
Type
Allopathic & Osteopathic Physicians
License No.
184003
License State
NY
Taxonomy Description
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DIANE M STAMAS

Authorized Official Title
SENIOR CREDENTIALING COORDINATOR
Authorized Official Phone
(518) 782-3742

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
33D0938685
Facility Type
Physician Office
Certificate Effective Date
March 16, 2025
Certificate Expiration Date
March 15, 2027
Laboratory Director
JAMES P. GAYLORD MD
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Burnt Hills Pediatrics & Internal Medicine in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

Reviews for BURNT HILLS PEDIATRICS & INTERNAL MEDICINE

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1134403561, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
3
Doubled → 6
Pos 4
4
Unchanged
Pos 5
4
Doubled → 8
Pos 6
0
Unchanged
Pos 7
3
Doubled → 6
Pos 8
5
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
1
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 3 → 6 4 → 8 3 → 6 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 6 + 4 + 8 + 0 + 6 + 5 + 1 + 2 + 24 = 59

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 59 is 60. The difference is the calculated check digit.

60 - 59 = 1
This NPI is valid
The calculated check digit is 1, which matches the last digit of 1134403561.

Other Providers at the Same Location


The following 9 providers are registered at the same or a nearby location.

Internal Medicine
1184 STATE ROUTE 50
BALLSTON LAKE, NY 12019
Internal Medicine
1184 STATE ROUTE 50
BURNT HILLS, NY 12019
Nurse Practitioner (Pediatrics)
1184 STATE ROUTE 50
BALLSTON LAKE, NY 12019
Nurse Practitioner (Family)
1184 STATE ROUTE 50
BALLSTON LAKE, NY 12019
Nurse Practitioner (Family)
1184 STATE ROUTE 50
BALLSTON LAKE, NY 12019
Physician Assistant
1184 STATE ROUTE 50
BALLSTON LAKE, NY 12019
Physician Assistant
1184 STATE ROUTE 50
BALLSTON LAKE, NY 12019
Physician Assistant
1184 STATE ROUTE 50
BALLSTON LAKE, NY 12019
Nurse Practitioner (Family)
1184 STATE ROUTE 50
BALLSTON LAKE, NY 12019

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1134403561, enumerated as an "organization" on October 04, 2011.

The provider is located at 1184 STATE ROUTE 50 BALLSTON LAKE, NY 12019 and the phone number is (518) 384-1281.

Internal Medicine with taxonomy code 207R00000X.