DR. SHASHIKANTH REDDY AMBATI (NPI# 1346664315) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346664315 |
| Entity Type | Individual |
| Full Name | DR. SHASHIKANTH REDDY AMBATI |
| Credential | M.D |
| Practice Address |
43 New Scotland Ave Mail Code 102 Albany NY 12208 |
| Practice Telephone | 5182625127 |
| Practice Fax Number | 5182622833 |
| Mailing Telephone | 5182625127 |
| Mailing Fax Number | 5182622833 |
| Enumeration Date | 2014-02-12 |
| Last Update Date | 2019-08-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0203X |
Pediatrics Specialization: Pediatric Critical Care Medicine |
273695 | NY | Allopathic & Osteopathic Physicians |
| Street Address |
43 NEW SCOTLAND AVE MAIL CODE 102 |
| City | ALBANY |
| State | NY |
| Zip Code | 12208 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124022181 | Florence Elizabeth Tharman | Audiologist-Hearing Aid Fitter | 43 New Scotland Ave, Albany, NY 12208-3412 | 2005-06-08 |
| 1154922805 | Jonathan David Lachance | Nurse Anesthetist, Certified Registered | 43 New Scotland Ave, Albany, NY 12208-3478 | 2020-11-07 |
| 1871194886 | Adam Andrews | Nurse Anesthetist, Certified Registered | 43 New Scotland Ave, Albany, NY 12208-3412 | 2020-11-05 |
| 1740881747 | Alexander Igoe | Nurse Anesthetist, Certified Registered | 43 New Scotland Ave, Albany, NY 12208-3412 | 2020-11-05 |
| 1104425495 | Rachael Debra Gardner | Family Medicine | 43 New Scotland Ave, Albany, NY 12208-3478 | 2020-10-19 |
| 1033717459 | Roxanne N Sokaris | Registered Nurse | 43 New Scotland Ave, Albany, NY 12208-3412 | 2020-10-16 |
| 1972100915 | Lalainya Marie O'connell | Pediatrics | 43 New Scotland Ave, Albany, NY 12208-3478 | 2020-10-02 |
| 1003421033 | Kelly N Miles | Registered Nurse | 43 New Scotland Ave, Albany, NY 12208-3478 | 2020-09-15 |
| 1366057606 | Melissa Falzon | Physician Assistant | 43 New Scotland Ave, Albany, NY 12208-3412 | 2020-09-14 |
| 1124630413 | Mason Mcdermott | Occupational Therapist | 43 New Scotland Ave, Albany, NY 12208-3412 | 2020-08-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255959045 | Fatima Mahmood | Student in an Organized Health Care Education/Training Program | 47 New Scotland Ave, Department of Internal Medicine, Albany, NY 12208 | 2020-07-08 |
| 1861021784 | Jessica Anne Charles-larose | Student in an Organized Health Care Education/Training Program | 47 New Scotland Avenue, Dept. of Family Medicine, Albany, NY 12208 | 2020-04-02 |
| 1235767211 | Michael Charles Harrington | Student in an Organized Health Care Education/Training Program | 47 New Scotland Avenue, Dept. of Orthopedic Surgery, Albany, NY 12208 | 2020-03-27 |
| 1518594126 | Arkar Htoo | Student in an Organized Health Care Education/Training Program | 47 New Scotland Avenue, Dept of Pathology, Albany, NY 12208 | 2020-03-24 |
| 1366079030 | Omar Merdan | Student in an Organized Health Care Education/Training Program | 47 New Scotland Ave, Dept of Medicine/pediatrics, Albany, NY 12208 | 2020-03-24 |
| 1306473079 | Sergo Gabunia | Student in an Organized Health Care Education/Training Program | 47 New Scotland Avenue, Dept of General Surgery, Albany, NY 12208 | 2020-03-24 |
| 1205469392 | Cornell Andre Morris | Social Worker | Albany Stratton Va Medical Center, 113 Holland Avenue, Albany, NY 12208 | 2020-02-17 |
| 1558909234 | St. Peter's Health Partners Medical Associates, P.C. | Surgery | 319 South Manning Blvd Suite 310, Capital Region Colon & Rectal Surgery, Albany, NY 12208 | 2019-12-13 |
| 1912543265 | Meghan Rose Baxter | Social Worker | 58 Academy Rd., Albany, NY 12208 | 2019-11-21 |
| 1245883461 | Gwendolyn Medak | Registered Nurse | 15 New Scotland Ave, Albany, NY 12208 | 2019-07-17 |
| Find all providers in zip 12208 | ||||
| Taxonomy Code | 2080P0203X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Critical Care Medicine |
| A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source added] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. ACGME Accredited Residency Program Requirements: 2 years of training with 3 years Pediatrics plus 1 year Pediatric Critical Care for certification for a total of 6 years. ABMS Approved Subspecialty Certificate (Pediatrics) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275529901 | Raymond Francis Walsh | Pediatrics | 47 New Scotland Ave, Albany, NY 12208-3412 | 2005-09-27 |
| 1376538108 | Javier L Sanchez | Pediatrics | 47 New Scotland Ave, Mc88, Albany, NY 12208-3412 | 2005-09-19 |
| 1023001385 | Patricia Marie Hopkins | Pediatrics | 47 New Scotland Ave, Albany, NY 12208-3412 | 2005-08-23 |
| 1265424386 | Walter E Edge | Pediatrics | 47 New Scotland Ave, Albany, NY 12208-3412 | 2005-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235631250 | Adi Avniel Aran | Pediatrics | 2600 Netherland Ave Apt 1720, Bronx, NY 10463-4838 | 2018-03-06 |
| 1518200203 | Kelly Haque | Pediatrics | 525 E 68th St # M-508, New York, NY 10065-4870 | 2013-04-01 |
| 1053654822 | Ami J Shah | Pediatrics | 424 E 34th St Fl Street9, New York, NY 10016-4901 | 2013-03-31 |
| 1841538295 | Binayak Sigdel | Pediatrics | 3242 Suson Ct, Apartment 2, St Louis, NY 10451-5504 | 2013-01-18 |
| 1063775955 | Marguerite Orsi Canter | Pediatrics | 1705 1st Ave, Apt 4fn, New York, NY 10128-4905 | 2012-06-17 |
| 1255629887 | Emily Wasserman | Pediatrics | 525 E 68th St # 6-south, New York, NY 10065-4870 | 2011-07-17 |
| 1295025310 | Grace Lee Ker | Pediatrics | 101 Nicolls Rd # Level11n, Stony Brook, NY 11794-0001 | 2011-04-11 |
| 1265741276 | Kalgi Mody | Pediatrics | 23 Richlee Ct, Apt 3s, Mineola, NY 11501-3647 | 2010-09-26 |
| 1093031478 | Erin Whitney Hulfish | Pediatrics | Hsc Level 11, Room 020, Stony Brook, NY 11794-0001 | 2010-04-11 |
| 1689996514 | Mary Kathleen Moynihan Hardart | Pediatrics | 4 Locust Ln, Bronxville, NY 10708-4916 | 2010-02-19 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.