St. Peter's Health Partners Medical Associates, PC
NPI 1629512876ActiveOrganization· Internal Medicine· Latham, NY
Internal Medicine in Latham, New York, registered in NPPES in December 2016, part of St. Peter's Health Partners Medical Associates, PC. The authorized official on file is Courtney Knowles, Credentialing Manager.
Overview
| NPI | 1629512876 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | St. Peter's Health Partners Medical Associates, PC |
| NPI issued | Dec 7, 2016 |
| Last updated in NPPES | Dec 16, 2019 |
| Certified by provider | Dec 16, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | — | — |
| Nurse Practitioner | 363L00000X | — | — |
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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