Koinonia Primary Care Inc
NPI 1023389533 · Clinic/Center · Albany, NY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Koinonia Primary Care Inc is a Clinic/Center organization in Albany, NY (NPI 1023389533).
Provider details
- NPI number
- 1023389533
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Robert Paeglow, President(518) 689-0282
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Former legal business name
- Koinonia Primary Medical Care PC
Registry dates
- Enumerated
- 2012-01-16
- Last updated
- 2012-01-16
Frequently asked questions
- What is Koinonia Primary Care Inc's NPI number?
- Koinonia Primary Care Inc's National Provider Identifier (NPI) is 1023389533, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Koinonia Primary Care Inc?
- Koinonia Primary Care Inc is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Koinonia Primary Care Inc located?
- Koinonia Primary Care Inc's practice location on file with NPPES is 553 Clinton Ave, Albany, NY 12206-2738.
- What is Koinonia Primary Care Inc's phone number?
- The practice phone number listed in the NPPES registry for Koinonia Primary Care Inc is (518) 689-0282.
- Does Koinonia Primary Care Inc accept Medicare?
- Koinonia Primary Care Inc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Koinonia Primary Care Inc?
- The authorized official listed on Koinonia Primary Care Inc's NPPES record is Robert Paeglow, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Koinonia Primary Care Inc's NPI active?
- Yes — Koinonia Primary Care Inc's NPI (1023389533) is active in the NPPES registry as of the last update on 2012-01-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.