ALBANY KETAMINE MEDICAL INFUSIONS PLLC
NPI 1861065856
Clinic/Center - Infusion Therapy in Albany, NY

Active since July 19, 2021
523 WESTERN AVE, ALBANY, NY 12203(518) 249-5700 Get Directions Write a Review

NPPES record last updated: December 11, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 11, 2023, Oct 14, 2021, Jul 19, 2021 (3 updates tracked since 2021).

About Albany Ketamine Medical Infusions Pllc NPPES

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

ALBANY KETAMINE MEDICAL INFUSIONS PLLC (NPI 1861065856) is a healthcare organization registered as an infusion therapy in Albany, New York and active in the NPI registry since July 2021. The organization lists Philip Hansen, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1861065856
Entity TypeOrganization
Primary Taxonomy261QI0500X
Legal Business NameALBANY KETAMINE MEDICAL INFUSIONS PLLC
Location Address523 WESTERN AVEAlbany, NY 12203-1617
Mailing Address7 Wembley CtAlbany, NY 12205-3851 · (518) 249-5700 · Fax (518) 942-2248
Organization SubpartNo
Authorized OfficialPhilip HansenMedical Director · (518) 249-5700
Enumeration DateJuly 19, 2021
Last NPPES UpdateDecember 11, 20233 updates tracked since enumeration
NPPES CertifiedDecember 11, 2023
✔ NPI 1861065856 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Infusion TherapyAmbulatory Health Care Facilities
Taxonomy Code261QI0500X
523 WESTERN AVE, Albany, NY 12203

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Albany Ketamine Medical Infusions Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Albany Ketamine Medical Infusions PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Anesthesiology
NPI 1083876957
7 WEMBLEY CT STE 201
Albany, NY 12205
(518) 249-5700
✔ PECOS4.0 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 Albany Ketamine Medical Infusions PLLC's NPI number?

The NPI number for Albany Ketamine Medical Infusions PLLC is 1861065856. It was assigned to this organization in the NPPES registry on July 19, 2021.

Where is Albany Ketamine Medical Infusions PLLC located?

Albany Ketamine Medical Infusions PLLC is located at 523 Western Ave, Albany, NY 12203. The listed phone number is (518) 249-5700.

What is Albany Ketamine Medical Infusions PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Infusion Therapy, with taxonomy code 261QI0500X.

Is Albany Ketamine Medical Infusions PLLC enrolled in Medicare?

Yes. Albany Ketamine Medical Infusions PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Albany Ketamine Medical Infusions PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Anesthesiology) reassigns their Medicare billing to Albany Ketamine Medical Infusions 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Albany Ketamine Medical Infusions PLLC was last updated on December 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.