Organization provider

DEARIE PREVENTATIVE MEDICINE PROFESSIONAL CORPORATION

Public Health & General Preventive Medicine Physician Clinic/Center Medicare enrolled

DEARIE PREVENTATIVE MEDICINE PROFESSIONAL CORPORATION is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1154138352, based in Albany, NY. The organization lists 2 taxonomy classifications, with Public Health & General Preventive Medicine Physician recorded as primary.

Getting there

The practice address on file is 418 BROADWAY STE N, Albany, NY 12207. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

418 BROADWAY STE N, Albany, NY 12207 Open in Google Maps →

Credentials and Medicare

State licence

NPPES does not list a state licence number for this record. That is not unusual — organizations and some provider types are not required to file one. Verify current licensure with the relevant state board before care.

Medicare (PECOS)
Status
Approved
Provider type
Part B Supplier - Clinic/group Practice
PAC ID
4385174739

Enrolled in Medicare 2 times, across 2 states:

StateEnrollment IDProvider type
New York O20250213003683 Part B Supplier - Clinic/group Practice
New Jersey O20250224002079 Part B Supplier - Clinic/group Practice

Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. There are 2 separate enrolment records across 2 states (NY, NJ). Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Public Health & General Preventive Medicine covers

Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings. NUCC Health Care Provider Taxonomy, code 2083P0901X
Allopathic & Osteopathic Physicians Preventive Medicine Public Health & General Preventive Medicine

All registered taxonomy codes

This provider registers 2 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.

CodeSpecialtyLicenceState
2083P0901X Public Health & General Preventive Medicine Physician Public Health & General Preventive Medicine primary
261Q00000X Clinic/Center

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.

NPI1154138352 valid check digit
Entity typeOrganization (NPI-2)
Enumeration dateDec 12, 2024
Last updatedApr 21, 2026
StatusActive
Practice address 418 BROADWAY STE N
Albany, NY 12207
(206) 486-2053
Mailing address PO BOX 7241
Tacoma, WA 98417
This record was updated on Apr 21, 2026, which is recent enough that the contact details are likely still accurate.

Number check

1154138352 passes the NPI check digit test The final digit 2 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 1 5 4 1 3 8 3 5
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 1 1 4 2 3 7 3 1

Sum = 48 · next multiple of 10 = 50 · check digit = 2 · actual last digit = 2

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1154138352?
NPI 1154138352 is the National Provider Identifier assigned to DEARIE PREVENTATIVE MEDICINE PROFESSIONAL CORPORATION in Albany, NY. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Public Health & General Preventive Medicine cover?
Public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a…
How do I contact DEARIE PREVENTATIVE MEDICINE PROFESSIONAL CORPORATION?
The phone number on file with NPPES is (206) 486-2053, last updated Apr 21, 2026. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does DEARIE PREVENTATIVE MEDICINE PROFESSIONAL CORPORATION accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1154138352 a valid number?
Yes. 1154138352 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.