DR. KATHERINE L STAM DO
NPI 1245329622
Internal Medicine - Obesity Medicine in Latham, NY

Active since October 12, 2006Opted out of Medicare · through May 13, 2028
713 TROY SCHENECTADY RD, SUITE 215, LATHAM, NY 12110(518) 713-5347(518) 713-5359 Get Directions Write a Review

NPPES record last updated: March 14, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Katherine L Stam Do NPPES

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

DR. KATHERINE L STAM DO (NPI 1245329622) is an individual obesity medicine provider in Latham, New York, licensed in New York (211086) and active in the NPI registry since October 2006. She has opted out of Medicare through May 13, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1245329622
Entity TypeIndividualFemale
Primary Taxonomy207RB0002X
Provider Legal NameDR. KATHERINE L STAMCredential: DO
Location Address713 TROY SCHENECTADY RD, SUITE 215Latham, NY 12110-2490
Mailing Address711 Troy Schenectady Rd, Suite 203Latham, NY 12110-2442 · (518) 782-3700 · Fax (518) 782-3799
Fax(518) 713-5359
Sole ProprietorNo
Enumeration DateOctober 12, 2006
Last NPPES UpdateMarch 14, 2012
NPI 1245329622 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Obesity MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RB0002X
License Licensed in NY · 211086
Definition
An internal medicine physician who specializes in the treatment of obesity demonstrates competency in and a thorough understanding of the treatment of obesity and the genetic, biologic, environmental, social, and behavioral factors that contribute to obesity. The obesity medicine physician employs therapeutic interventions including diet, physical activity, behavioral change, and pharmacotherapy. The obesity medicine physician utilizes a comprehensive approach, and may include additional resources such as dietitians, exercise physiologists, mental health professionals and bariatric surgeons as indicated to achieve optimal results. Additionally, the obesity medicine physician maintains competency in providing pre- peri- and post-surgical care of bariatric surgery patients, promotes the prevention of obesity, and advocates for those who suffer from obesity.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 211086 (NY)
713 TROY SCHENECTADY RD, Latham, NY 12110

Other Identifiers 12

Medicare UPING82440
Medicaid01871636NY
Medicare PINJ400065352NY
Other5551692NY · Aetna
Other10027960NY · Cdphp
Medicare PINRB4264-RB4265NY
Other070820000064NY · Fidelis
Other6D0821NY · Empire Bc
Other201082NY · Senior Whole Health
Other000490182005NY · Bsneny
Other119580NY · Ghi/hmo
Other08885NY · Mvp

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Opted out of Medicare

Dr. Katherine L Stam Do has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 13, 2020 through May 13, 2028.

Opt-Out Effective DateMay 13, 2020
Opt-Out In Effect ThroughMay 13, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Urology
713 TROY SCHENECTADY RD, SUITE 124
LATHAM, NY 12110
Obstetrics & Gynecology
713 TROY SCHENECTADY RD
LATHAM, NY 12110
Family Medicine
713 TROY SCHENECTADY RD, SUITE 224
LATHAM, NY 12110
Plastic Surgery
713 TROY SCHENECTADY RD, SUITE 308
LATHAM, NY 12110
Counselor
713 TROY SCHENECTADY RD
LATHAM, NY 12110
Nurse Practitioner (Family)
713 TROY SCHENECTADY RD, SUITE 215
LATHAM, NY 12110
Dietitian, Registered
713 TROY SCHENECTADY RD, SUITE 218
LATHAM, NY 12110
Ophthalmology
713 TROY SCHENECTADY RD, SUITE 135
LATHAM, NY 12110

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 Katherine Stam's NPI number?

The NPI number for Katherine Stam is 1245329622. It was assigned to this individual provider in the NPPES registry on October 12, 2006.

Where is Katherine Stam located?

Katherine Stam practices at 713 Troy Schenectady Rd Suite 215, Latham, NY 12110. The listed phone number is (518) 713-5347.

What is Katherine Stam's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Obesity Medicine, with taxonomy code 207RB0002X.

Is Katherine Stam enrolled in Medicare?

No. Katherine Stam has opted out of Medicare through May 13, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Katherine Stam was last updated on March 14, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years 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.