NPIMap

Individual provider Active NPI

Michael T Colon, MD

  • Pediatric Cardiology Physician
  • Albany, NY
National Provider Identifier
1023040326
Registry record updated May 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
License
2567541 Issued in NY
Practice address
319 S Manning Blvd
Suite 203
Albany, NY 12208-1742
Phone
(518) 489-3292
Fax
(518) 453-6286
NPI assigned
Jul 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 044231 CT
Pediatric Cardiology Physician 2080P0202X 2567541 NY Primary

Addresses

Primary practice location

319 S Manning Blvd
Suite 203
Albany, NY 12208-1742

Mailing address

319 S Manning Blvd
Suite 203
Albany, NY 12208-1742
Phone (518) 489-3292

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
I20110321000678 NY Practitioner - Pediatric MedicinePractitioner - Cardiac Surgery 4981607884 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pediatric MedicineAlso: Cardiac Surgery
Education
Albany Medical College of Union University, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Capital District Pediatric Cardiology Associates PCGroup PAC ID 2163508466, 3 clinicians

Practice addresses (Care Compare)

319 S Manning Blvd
Albany, NY 12208-1743
Phone (518) 489-3292

Hospital & facility affiliations

  • Albany Medical Center Hospital Hospital, Albany, NY, CCN 330013

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2567541NYMDPediatric Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Albany Medical College Pediatrics CurrentSince Nov 1, 2014 Accepting new patients
Albany Medical College Pediatrics Current Accepting new patients
Mary Imogene Bassett Hospital CurrentSince Apr 2, 2012 Accepting new patients
Albany Medical College Pediatrics CurrentSince May 1, 2019 Accepting new patients
Ellis Hospital CurrentSince Apr 18, 2020 Accepting new patients
Albany Medical College CurrentSince Nov 1, 2014 Accepting new patients
Capital District Pediatric Cardiology Associates PC Pediatric Cardiology CurrentSince Jan 16, 2011 Accepting new patients
Albany Medical College Current Accepting new patients
Mary Imogene Bassett Hospital CurrentSince Apr 2, 2012 Accepting new patients
Saint Raphael Faculty Physicians Past Accepting new patients

Locations

319 S Manning Blvd
Ste 203
Albany, NY 12208
Phone (518) 489-3292

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

178 Grandview Dr
Cobleskill, NY 12043
Phone (518) 254-3456

1101 Nott St
Schenectady, NY 12308
Phone (518) 243-1916

Interoperability endpoints

  • Direct secure messaging: mcolon10425@bassett.direct-ci.net
  • Direct secure messaging: michael.colon@nykidshearts.directbygreenway.com
  • Direct secure messaging: mcolon788603@direct.trinity-health.org

Organizations & group practices 10

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 5

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": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400716800000",
    "number": "1023040326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 S MANNING BLVD",
            "address_2": "SUITE 203",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122081742",
            "telephone_number": "518-489-3292",
            "fax_number": "518-453-6286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 S MANNING BLVD",
            "address_2": "SUITE 203",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122081742",
            "telephone_number": "518-489-3292",
            "fax_number": "518-453-6286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLON",
        "first_name": "MICHAEL",
        "middle_name": "T",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-07",
        "last_updated": "2014-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CT",
            "license": "044231",
            "primary": false
        },
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "NY",
            "license": "2567541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.