Individual provider Active NPI

Michael Philip Angelucci, M.D.

  • Anesthesiology Physician
  • Glens Falls, NY
National Provider Identifier
1013126093
Registry record updated Dec 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
261163 Issued in NY
Practice address
100 Park St
Glens Falls Hospital - Dept of Anesthesia
Glens Falls, NY 12801-4413
Phone
(518) 926-1000
NPI assigned
May 22, 2007
Last updated
Dec 16, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 01060778A IN
Anesthesiology Physician 207L00000X D0066871 MD
Anesthesiology Physician 207L00000X 261163 NY Primary

Addresses

Primary practice location

100 Park St
Glens Falls Hospital - Dept of Anesthesia
Glens Falls, NY 12801-4413

Mailing address

100 Park St
Glens Falls, NY 12801-4447
Phone (518) 926-1000

Other practice location 1

59 Noble Way
Queensbury, NY 12804-8135
Phone (518) 223-5881

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address angelump@glensfallshosp.org Direct Glens Falls Hospital Inc

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20110512000152 NY Practitioner - Anesthesiology 5890871073 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Rutgers New Jersey Medical School, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Albany Medical CollegeGroup PAC ID 1759293111, 1,054 clinicians

Practice addresses (Care Compare)

47 New Scotland Ave
Albany, NY 12208-3412
Phone (518) 262-5633

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.78 of 100Reported as group
Quality
77.53
Promoting interoperability
100
Improvement activities
40
Cost
76.35

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01060778AINMDAnesthesiology Physician
D0066871MDMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Anesthesia of New York, P.C. Anesthesiology CurrentSince Mar 24, 2014 Accepting new patients
Albany Medical College CurrentSince Jun 1, 2023 Accepting new patients
Albany Medical College Current Accepting new patients
Albany Medical College Anesthesiology CurrentSince Jun 1, 2023 Accepting new patients
Albany Medical College Anesthesiology Current Accepting new patients
Albany Medical College Anesthesiology CurrentSince Jun 1, 2023 Accepting new patients

Locations

47 New Scotland Ave
Albany, NY 12208
Phone (518) 262-3773

47 New Scotland Ave
#131
Albany, NY 12208
Phone (518) 262-4300

100 Park St
Glens Falls, NY 12801
Phone (518) 926-5924

207 Foote Ave
Jamestown, NY 14701
Phone (716) 487-0141

1275 Broadway
#106
Menands, NY 12204
Phone (518) 262-9705

2233 State Route 86
Saranac Lake, NY 12983
Phone (518) 891-4141

Interoperability endpoints

  • Direct secure messaging: mangelucci22088@albanymed.direct-ci.com

Organizations & group practices 6

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

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": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639612800000",
    "number": "1013126093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PARK ST",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128014447",
            "telephone_number": "518-926-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 PARK ST",
            "address_2": "GLENS FALLS HOSPITAL - DEPT OF ANESTHESIA",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128014413",
            "telephone_number": "518-926-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "59 Noble Way",
            "address_purpose": "LOCATION",
            "city": "Queensbury",
            "state": "NY",
            "postal_code": "128048135",
            "country_code": "US",
            "telephone_number": "518-223-5881",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANGELUCCI",
        "first_name": "MICHAEL",
        "middle_name": "PHILIP",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-22",
        "last_updated": "2021-12-16",
        "certification_date": "2021-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IN",
            "license": "01060778A",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MD",
            "license": "D0066871",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "261163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "angelump@glensfallshosp.org",
            "affiliation": "Y",
            "affiliationName": "Glens Falls Hospital Inc",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "100 Park St",
            "address_2": "Glens Falls Hospital - Dept of Anesthesia",
            "city": "Glens Falls",
            "state": "NY",
            "country_code": "US",
            "postal_code": "128014413",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Glens Falls, NY

Sources for this page

Verify at the official NPI Registry.