Community Care Physicians, PC
NPI 1104109065ActiveOrganization· Internal Medicine· Schenectady, NY
Internal Medicine in Schenectady, New York, registered in NPPES in September 2011, part of Community Care Physicians, PC. The authorized official on file is Debby Coons, Credentialing Manager.
Overview
| NPI | 1104109065 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Community Care Physicians, PC |
| NPI issued | Sep 27, 2011 |
| Last updated in NPPES | Mar 14, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | 154946 | NY |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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