NPIMap

Individual provider Active NPI

Sean William Leahy, PA-C

  • Physician Assistant
  • Albany, NY
National Provider Identifier
1003168683
Registry record updated May 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
019983 Issued in NY
Practice address
1367 Washington Ave Ste 200
Albany, NY 12206-1048
Phone
(518) 489-2999
Fax
(518) 489-5933
NPI assigned
Oct 8, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 019983 NY Primary

Addresses

Primary practice location

1367 Washington Ave Ste 200
Albany, NY 12206-1048

Mailing address

1367 Washington Ave Ste 200
Albany, NY 12206-1048
Phone (518) 489-2999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161013000764 NY Practitioner - Physician Assistant 2264686914 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Marymount University, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Capital Region Orthopaedic Associates, PCGroup PAC ID 3779496393, 67 clinicians

Practice addresses (Care Compare)

1367 Washington Ave
Suite 200
Albany, NY 12206-1043
Phone (518) 489-2666

4 Medical Park Dr
Suite 200
Malta, NY 12020-5004
Phone (518) 289-2171

92 E Ave
Saratoga Springs, NY 12866-2615
Phone (518) 584-0295

989 Route 146
Suite 200
Clifton Park, NY 12065-3647
Phone (518) 383-0617

Hospital & facility affiliations

  • Saratoga Hospital Hospital, Saratoga Springs, NY, CCN 330222
  • Samaritan Hospital of Troy, New York Hospital, Troy, NY, CCN 330180
  • St Marys Healthcare Hospital, Amsterdam, NY, CCN 330047

Merit-based Incentive Payment System (MIPS)

Final score
82.41 of 100Reported as group
Quality
56.02
Promoting interoperability
100
Improvement activities
40
Cost
85.34

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Interoperability endpoints

  • Direct secure messaging: sean.leahy.1@28317.direct.athenahealth.com
  • Direct secure messaging: sleahy26469@albanymed.direct-ci.com
  • Direct secure messaging: sleahy788841@direct.trinity-health.org
  • Direct secure messaging: seanleahy@fso.allscriptsdirect.net

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 20

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 20

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1349654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588809600000",
    "number": "1003168683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1367 WASHINGTON AVE STE 200",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122061048",
            "telephone_number": "518-489-2999",
            "fax_number": "518-489-5933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1367 WASHINGTON AVE STE 200",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122061048",
            "telephone_number": "518-489-2999",
            "fax_number": "518-489-5933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEAHY",
        "first_name": "SEAN",
        "middle_name": "WILLIAM",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-10-08",
        "last_updated": "2020-05-07",
        "certification_date": "2020-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "019983",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.