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DEARIE PREVENTATIVE MEDICINE PROFESSIONAL CORPORATION
NPI 1154138352
Preventive Medicine - Public Health & General Preventive Medicine in Albany, NY

Active since December 12, 2024
418 BROADWAY STE N, ALBANY, NY 12207(206) 486-2053 Get Directions Write a Review

NPPES record last updated: April 21, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 21, 2026, Feb 25, 2025, Dec 12, 2024 (3 updates tracked since 2024).

About Dearie Preventative Medicine Professional Corporation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DEARIE PREVENTATIVE MEDICINE PROFESSIONAL CORPORATION (NPI 1154138352) is a healthcare organization registered as a public health & general preventive medicine in Albany, New York and active in the NPI registry since December 2024. The organization maintains a secondary practice location in Newark and lists Kristin Kleinhans, Director, as its authorized official.

NPPES Registry Identity

NPI1154138352
Entity TypeOrganization
Primary Taxonomy2083P0901X
Legal Business NameDEARIE PREVENTATIVE MEDICINE PROFESSIONAL CORPORATION
Location Address418 BROADWAY STE NAlbany, NY 12207-2922
Mailing AddressPo Box 7241Tacoma, WA 98417-0241 · (253) 242-2705
Phone(206) 486-2053
Organization SubpartNo
Authorized OfficialKristin KleinhansDirector · (253) 242-2705
Enumeration DateDecember 12, 2024
Last NPPES UpdateApril 21, 20263 updates tracked since enumeration
NPPES CertifiedApril 21, 2026
✔ NPI 1154138352 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPreventive Medicine · Public Health & General Preventive MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2083P0901X
Definition
Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings.
Also ListedClinic/CenterTaxonomy 261Q00000X
418 BROADWAY STE N, Albany, NY 12207
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Secondary Practice Location 1

Location 1972 Broad St.Newark, NJ 07102-3422 · Phone (253) 242-2705

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dearie Preventative Medicine Professional Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Dearie Preventative Medicine Professional Corporation, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (4)

Danielle Harris, D.O.
Family Practice
NPI 1497119648
1461 MORTHLAND DR STE A
Valparaiso, IN 46385
(219) 663-4007
✔ PECOS✔ Accepts Medicare690 mi
Neil Tabakin, M.D.
Anesthesiology
NPI 1841274917
2323 N LAKE DR
Milwaukee, WI 53211
(414) 291-1000
✔ PECOS✔ Accepts Medicare717 mi
Joseph Dearie, MD
Emergency Medicine
NPI 1770697989
1850 GATEWAY DR
Sycamore, IL 60178
(815) 217-3252
✔ PECOS✔ Accepts Medicare767 mi
Daniel Harrell, DO
Emergency Medicine
NPI 1477717205
2314 DIAMOND SPRINGS DR
Pearland, TX 77584
(817) 992-8729
✔ PECOS✔ Accepts Medicare1,503 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dearie Preventative Medicine Professional Corporation's NPI number?

The NPI number for Dearie Preventative Medicine Professional Corporation is 1154138352. It was assigned to this organization in the NPPES registry on December 12, 2024.

Where is Dearie Preventative Medicine Professional Corporation located?

Dearie Preventative Medicine Professional Corporation is located at 418 Broadway Ste N, Albany, NY 12207. The listed phone number is (206) 486-2053.

What is Dearie Preventative Medicine Professional Corporation's specialty?

The primary specialty registered for this NPI is Preventive Medicine, specializing in Public Health & General Preventive Medicine, with taxonomy code 2083P0901X.

Is Dearie Preventative Medicine Professional Corporation enrolled in Medicare?

Yes. Dearie Preventative Medicine Professional Corporation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dearie Preventative Medicine Professional Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Dearie Preventative Medicine Professional Corporation, in Anesthesiology, Emergency Medicine and Family Practice. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Dearie Preventative Medicine Professional Corporation was last updated on April 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.