Individual provider Active NPI

Rebecca Tan-Alberto, MD

  • Anesthesiology Physician
  • Lowville, NY
National Provider Identifier
1013972777
Registry record updated Jun 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
221108 Issued in NY
Practice address
7785 N State St
Lowville, NY 13367-1229
Phone
(315) 376-5200
Fax
(315) 376-9317
NPI assigned
Apr 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 221108 NY Primary

Addresses

Primary practice location

7785 N State St
Lowville, NY 13367-1229

Mailing address

PO Box 2337
Syracuse, NY 13220-2337
Phone (315) 701-5610

Other identifiers 1

IdentifierTypeStateIssuer
02193680MedicaidNY

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
I20040708001246 NY Practitioner - AnesthesiologyPractitioner - Interventional Pain Management 9234127101 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Interventional Pain Management
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carthage Area Hospital IncGroup PAC ID 9931010485, shared by 16 NPIs, 119 clinicians

Practice addresses (Care Compare)

1001 W St
Carthage, NY 13619-9703
Phone (315) 493-1000

1001 W St
Carthage, NY 13619-9776
Phone (315) 493-1005

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
221108NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Carthage Area Hospital, Inc. Current Accepting new patients
Claxton-Hepburn Medical Center CurrentSince Feb 1, 2020 Accepting new patients
Carthage Area Hospital, Inc. CurrentSince Nov 1, 2021 Accepting new patients
Carthage Area Hospital Inc CurrentSince Jan 1, 2016 Accepting new patients
Carthage Area Hospital Inc CurrentSince Jan 1, 2016 Accepting new patients
Associates for Women'S Medicine PLLC PastSince Feb 13, 2016 Accepting new patients
Anesthesiology Medical Services PSC Anesthesiology Past Accepting new patients
Anesthesia Affiliate PC Anesthesiology PastSince Feb 15, 2018 Accepting new patients

Locations

39 W Main St
Canton, NY 13617
Phone (315) 379-4700

1001 West St
Carthage, NY 13619
Phone (315) 493-1000

214 King St
Ogdensburg, NY 13669
Phone (315) 713-5660

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403136000000",
    "number": "1013972777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2337",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132202337",
            "telephone_number": "315-701-5610",
            "fax_number": "315-422-3909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7785 N STATE ST",
            "city": "LOWVILLE",
            "state": "NY",
            "postal_code": "133671229",
            "telephone_number": "315-376-5200",
            "fax_number": "315-376-9317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAN-ALBERTO",
        "first_name": "REBECCA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-18",
        "last_updated": "2014-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "221108",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02193680",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lowville, NY

Sources for this page

Verify at the official NPI Registry.