WYNANTSKILL FAMILY PRACTICE P.C.
NPI 1306032545
Family Medicine in Wynantskill, NY

Active since September 21, 2007CLIA 33D0161818 · Accreditation
9 W SAND LAKE RD, WYNANTSKILL, NY 12198(518) 283-1974(518) 283-2018 Get Directions Write a Review

NPPES record last updated: December 30, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Wynantskill Family Practice P.c. NPPES

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

WYNANTSKILL FAMILY PRACTICE P.C. (NPI 1306032545) is a healthcare organization registered as a family medicine in Wynantskill, New York and active in the NPI registry since September 2007. The organization holds an CLIA Accreditation certificate valid through December 22, 2027 and lists Ritchie J Parrotta, Physician, as its authorized official.

NPPES Registry Identity

NPI1306032545
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameWYNANTSKILL FAMILY PRACTICE P.C.
Location Address9 W SAND LAKE RDWynantskill, NY 12198-7954
Mailing Address9 W Sand Lake RdWynantskill, NY 12198-7954 · (518) 283-1974 · Fax (518) 283-2018
Fax(518) 283-2018
Organization SubpartNo
Authorized OfficialRitchie J ParrottaPhysician · (518) 283-1974
Enumeration DateSeptember 21, 2007
Last NPPES UpdateDecember 30, 2011
✔ NPI 1306032545 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
9 W SAND LAKE RD, Wynantskill, NY 12198

Other Identifiers 1

Medicare PIN53191A

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Wynantskill Family Practice P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNew YorkEnrollment IDO20111214001079Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Wynantskill Family Practice P.C., which bills Medicare for the services this clinician delivers.

Clinician (1)

Family Practice
NPI 1477663243
9 W SAND LAKE RD
Wynantskill, NY 12198
(518) 283-1974
✔ PECOS✔ Accepts Medicare0.1 mi

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 33D0161818

Wynantskill Family Practice · Wynantskill, NY
Active · expires Dec 22, 2027
CLIA Number33D0161818
Laboratory TypePhysician Office
Certificate Effective DateDecember 23, 2025
Certificate Expiration DateDecember 22, 2027
Laboratory DirectorDr. Ritchie Parrotta
Laboratory Phone(518) 283-1974
Laboratory LocationWynantskill Family Practice9 West Sand Lake Road, Wynantskill, NY 12198
CLIA data matches this NPI record on: Address Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

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 Wynantskill Family Practice P.C.'s NPI number?

The NPI number for Wynantskill Family Practice P.C. is 1306032545. It was assigned to this organization in the NPPES registry on September 21, 2007.

Where is Wynantskill Family Practice P.C. located?

Wynantskill Family Practice P.C. is located at 9 W Sand Lake Rd, Wynantskill, NY 12198. The listed phone number is (518) 283-1974.

What is Wynantskill Family Practice P.C.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Wynantskill Family Practice P.C. enrolled in Medicare?

Yes. Wynantskill Family Practice P.C. is registered in the Medicare PECOS enrollment system.

When is Wynantskill Family Practice P.C.'s Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New York, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Wynantskill Family Practice P.C.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Wynantskill Family Practice P.C.. 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.

Does Wynantskill Family Practice P.C. hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 33D0161818) is associated with this NPI, valid through December 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Wynantskill Family Practice P.C. was last updated on December 30, 2011. 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.