Individual provider Active NPI

Emmanuelle Cordero Torres, MD

  • Nephrology Physician
  • Albany, NY
National Provider Identifier
1003207978
Registry record updated Mar 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
63855 Issued in NY
Practice address
47 New Scotland Ave Dept of Nephrology
Albany Medical Center
Albany, NY 12208
Phone
(518) 262-5377
NPI assigned
Feb 12, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 31007R PR
Nephrology Physician 207RN0300X 63855 NY Primary

Addresses

Primary practice location

47 New Scotland Ave Dept of Nephrology
Albany Medical Center
Albany, NY 12208

Mailing address

47 New Scotland Ave, Dept of Nephrology
Albany Medical Center
Albany, NY 12208
Phone (518) 262-5377

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, PR2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20191004002581 PA Practitioner - Nephrology 2567793573 Reassigns benefits to 1 organization
I20221206001240 PR Practitioner - NephrologyPractitioner - Internal Medicine 2567793573 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

CRR 3 Int
54 Commerce Plaza 205
Guayama, PR 00785-0543
Phone (787) 226-4020

Hospital & facility affiliations

  • Hospital Menonita Guayama Hospital, Guayama, PR, CCN 400048

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
31007RPRMDInternal Medicine Physician
63855NYMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bayview Nephrology, Inc. Nephrology CurrentSince Sep 1, 2019 Accepting new patients
Nephrocare, LLC Nephrology CurrentSince Sep 16, 2022 Accepting new patients

Locations

350 E Bayfront Pkwy
Ste C
Erie, PA 16507
Phone (814) 455-2279

Interoperability endpoints

  • Direct secure messaging: etorres@bayviewnephrology.medentdirect.com

Organizations & group practices 2

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 1

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

NPI Registry JSON

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

{
    "created_epoch": "1423699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490745600000",
    "number": "1003207978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 NEW SCOTLAND AVE, DEPT OF NEPHROLOGY",
            "address_2": "ALBANY MEDICAL CENTER",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "12208",
            "telephone_number": "518-262-5377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 NEW SCOTLAND AVE DEPT OF NEPHROLOGY",
            "address_2": "ALBANY MEDICAL CENTER",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "12208",
            "telephone_number": "518-262-5377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORDERO TORRES",
        "first_name": "EMMANUELLE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-02-12",
        "last_updated": "2017-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "31007R",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "63855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.