NPIMap

Individual provider Active NPI

Sean Peter Roddy, MD

  • Vascular Surgery Physician
  • Albany, NY
National Provider Identifier
1043204662
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
214744 Issued in NY
Practice address
391 Myrtle Ave., Suite 5
The Vascular Group, PLLC
Albany, NY 12208-3412
Phone
(518) 262-5640
Fax
(518) 262-9413
NPI assigned
Sep 9, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X 214744 NY
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 214744 NY
Vascular Surgery Physician 2086S0129X 214744 NY Primary

Addresses

Primary practice location

391 Myrtle Ave., Suite 5
The Vascular Group, PLLC
Albany, NY 12208-3412

Mailing address

391 Myrtle Ave Ste 5
Albany, NY 12208-3797
Phone (518) 262-5640

Other practice location 1

1201 Nott St Ste 202
Schenectady, NY 12308-2589
Phone (518) 262-5640

Other practice location 2

1250 Riverfront Ctr Ste 2420
Amsterdam, NY 12010-4602
Phone (518) 262-5640

Other identifiers 1

IdentifierTypeStateIssuer
01991111MedicaidNY

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
I20040416000556 NY Practitioner - Vascular SurgeryPractitioner - Pediatric MedicinePractitioner - Interventional Radiology 8224022504 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: Interventional Radiology
Education
Yale University School of Medicine, 1992
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)

391 Myrtle Ave
Albany, NY 12208-3835
Phone (518) 262-5640

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)1-10
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Albany Medical College Current Accepting new patients
Albany Medical College Vascular Surgery CurrentSince May 1, 2019 Accepting new patients
Albany Medical College Current Accepting new patients
Albany Medical College Current Accepting new patients
Albany Medical College Current Accepting new patients
Albany Medical College CurrentSince Jun 1, 2019 Accepting new patients
Albany Medical College Current Accepting new patients
Albany Medical Center Hospital Past Accepting new patients

Locations

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

7 Southwoods Blvd
Albany, NY 12211
Phone (518) 292-6060

391 Myrtle Ave
Ste 5
Albany, NY 12208
Phone (518) 262-7240

47 New Scotland Ave
#139
Albany, NY 12208
Phone (518) 262-3773

391 Myrtle Ave
Albany, NY 12208
Phone (518) 262-5588

47 New Scotland Ave
#157
Albany, NY 12208

71 Prospect Ave
Ste 210
Hudson, NY 12534
Phone (518) 828-2565

117 Marys Ave
Ste 201
Kingston, NY 12401
Phone (845) 331-8146

117 Marys Ave
Ste 202
Kingston, NY 12401
Phone (845) 338-1717

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

1769 Union St
Ste 2
Niskayuna, NY 12309
Phone (518) 382-1151

1201 Nott St
Ste 202
Schenectady, NY 12308
Phone (518) 370-1814

1301 River St
Ste 108
Valatie, NY 12184
Phone (518) 758-6898

Interoperability endpoints

  • Direct secure messaging: sroddy43090@albanymed.direct-ci.com

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.

Hospital & facility affiliations 24

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

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1126224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1043204662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "391 MYRTLE AVE STE 5",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122083797",
            "telephone_number": "518-262-5640",
            "fax_number": "518-262-9413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "391 MYRTLE AVE., SUITE 5",
            "address_2": "THE VASCULAR GROUP, PLLC",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122083412",
            "telephone_number": "518-262-5640",
            "fax_number": "518-262-9413"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1201 Nott St Ste 202",
            "address_purpose": "LOCATION",
            "city": "Schenectady",
            "state": "NY",
            "postal_code": "123082589",
            "country_code": "US",
            "telephone_number": "518-262-5640",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1250 Riverfront Ctr Ste 2420",
            "address_purpose": "LOCATION",
            "city": "Amsterdam",
            "state": "NY",
            "postal_code": "120104602",
            "country_code": "US",
            "telephone_number": "518-262-5640",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODDY",
        "first_name": "SEAN",
        "middle_name": "PETER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-09",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NY",
            "license": "214744",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "NY",
            "license": "214744",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NY",
            "license": "214744",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01991111",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.