1. Home
  2. Directory
  3. New York
  4. Malta
  5. Family Medicine
  6. NPI Profile

SARATOGA FAMILY MEDICINE,PLLC
NPI 1386730752
Family Medicine in Malta, NY

Active since October 05, 2006CLIA 33D1007548 · Waiver
100 SARATOGA VILLAGE BLVD, SUITE 34, MALTA, NY 12020(518) 899-9090(518) 899-9098 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Saratoga Family Medicine,pllc NPPES

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

SARATOGA FAMILY MEDICINE,PLLC (NPI 1386730752) is a healthcare organization registered as a family medicine in Malta, New York and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through December 19, 2026 and lists Marianne A Mustafa, Owner, as its authorized official.

NPPES Registry Identity

NPI1386730752
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameSARATOGA FAMILY MEDICINE,PLLC
Location Address100 SARATOGA VILLAGE BLVD, SUITE 34Malta, NY 12020-3737
Mailing Address100 Saratoga Village Blvd, Suite 34Malta, NY 12020-3737 · (518) 899-9090 · Fax (518) 899-9098
Phone(518) 899-9090
Fax(518) 899-9098
Organization SubpartNo
Authorized OfficialMarianne A MustafaOwner · (518) 899-9090
Enumeration DateOctober 5, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1386730752 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NY · 226100
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.
100 SARATOGA VILLAGE BLVD, Malta, NY 12020
Open in Google Maps ↗

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Saratoga Family Medicine,pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Saratoga Family Medicine,pllc, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Marianne Mustafa, M.D.
Family Practice
NPI 1497841860
100 SARATOGA VILLAGE BLVD SUITE 34
Malta, NY 12020
(518) 899-9099
✔ PECOSSame address
Kasey Whelden, FNP-BC
Nurse Practitioner
NPI 1427836782
6 MEDICAL PARK DR STE 208
Ballston Spa, NY 12020
(518) 428-4391
✔ PECOS✔ Accepts Medicare4.5 mi
Amy Yrsha, FNP-C
Nurse Practitioner
NPI 1861048647
6 MEDICAL PARK DR STE 208
Ballston Spa, NY 12020
(518) 899-9090
✔ PECOS✔ Accepts Medicare4.5 mi
Rosann Wilcox, FNP
Nurse Practitioner
NPI 1285087320
377 CHURCH ST
Saratoga Springs, NY 12866
(518) 584-4456
✔ PECOS8.3 mi
Stephen Fishel, M.D.
Family Practice
NPI 1992891378
501 NEW KARNER RD
Albany, NY 12205
(518) 393-0391
✔ PECOS✔ Accepts Medicare16 mi
Jennifer Tichich, ANP-BC
Nurse Practitioner
NPI 1124179130
22 STRAFFORD ST STE 1
Laconia, NH 03246
(603) 366-1070
✔ PECOS✔ Accepts Medicare124 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 Waiver 33D1007548

Saratoga Family Medicine PLLC · Malta, NY
Active · expires Dec 19, 2026
CLIA Number33D1007548
Laboratory TypePhysician Office
Certificate Effective DateDecember 20, 2024
Certificate Expiration DateDecember 19, 2026
Laboratory DirectorDr. Marianne A. Mustafa
Laboratory Phone(518) 899-9090
Laboratory LocationSaratoga Family Medicine PLLC6 Medical Park Drive, Suite 208, Malta, NY 12020
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Saratoga Family Medicine,pllc's NPI number?

The NPI number for Saratoga Family Medicine,pllc is 1386730752. It was assigned to this organization in the NPPES registry on October 5, 2006.

Where is Saratoga Family Medicine,pllc located?

Saratoga Family Medicine,pllc is located at 100 Saratoga Village Blvd Suite 34, Malta, NY 12020. The listed phone number is (518) 899-9090.

What is Saratoga Family Medicine,pllc's specialty?

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

Is Saratoga Family Medicine,pllc enrolled in Medicare?

Yes. Saratoga Family Medicine,pllc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Saratoga Family Medicine,pllc?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to Saratoga Family Medicine,pllc. 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. The largest specialties are Nurse Practitioner (4) and Family Practice (2). Of these, 1 practice at this address and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Saratoga Family Medicine,pllc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D1007548) is associated with this NPI, valid through December 19, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Saratoga Family Medicine,pllc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.