DR. KIMBERLY A PEREGRIM D.O.
NPI 1467444554
Internal Medicine in Latham, NY

Active since August 16, 2005
711 TROY SCHENECTADY RD STE 104, LATHAM, NY 12110(518) 783-3110(518) 220-9506 Get Directions Write a Review

NPPES record last updated: January 14, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 14, 2019, Mar 17, 2018, Jan 19, 2018 and 2 more (5 updates tracked since 2017).

About Dr. Kimberly A Peregrim D.o. NPPES

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

DR. KIMBERLY A PEREGRIM D.O. (NPI 1467444554) is an individual internal medicine provider in Latham, New York, licensed in New York (224370) and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1467444554
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. KIMBERLY A PEREGRIMCredential: D.O.
Location Address711 TROY SCHENECTADY RD STE 104Latham, NY 12110-2454
Mailing Address711 Troy Schenectady Rd Ste 203Latham, NY 12110-2461 · (518) 782-3700 · Fax (518) 782-3799
Fax(518) 220-9506
Sole ProprietorNo
Enumeration DateAugust 16, 2005
Last NPPES UpdateJanuary 14, 20195 updates tracked since enumeration
NPI 1467444554 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in NY · 224370
Definition

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.

711 TROY SCHENECTADY RD STE 104, Latham, NY 12110

Other Identifiers 1

Medicaid02256320NY

Other Providers at the Same Location NPPES 3

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

Nurse Practitioner (Adult Health)
711 TROY SCHENECTADY RD STE 104
LATHAM, NY 12110
Nurse Practitioner (Family)
711 TROY SCHENECTADY RD STE 104
LATHAM, NY 12110
Internal Medicine
711 TROY SCHENECTADY RD STE 104
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 Kimberly Peregrim's NPI number?

The NPI number for Kimberly Peregrim is 1467444554. It was assigned to this individual provider in the NPPES registry on August 16, 2005.

Where is Kimberly Peregrim located?

Kimberly Peregrim practices at 711 Troy Schenectady Rd Ste 104, Latham, NY 12110. The listed phone number is (518) 783-3110.

What is Kimberly Peregrim's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

When was this NPI record last updated?

The NPPES record for Kimberly Peregrim was last updated on January 14, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.