Individual provider Active NPI

Adel Mahjoub, MD

  • Orthopaedic Foot and Ankle Surgery Physician
  • Latham, NY
National Provider Identifier
1043844541
Registry record updated Mar 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Foot and Ankle Surgery PhysicianTaxonomy code 207XX0004X
License
339160 Issued in NY
Practice address
1182 Troy Schenectady Rd Ste 100
Latham, NY 12110-1000
Phone
(518) 269-4690
NPI assigned
Feb 24, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Foot and Ankle Surgery Physician 207XX0004X 339160 NY Primary
Orthopaedic Surgery Physician 207X00000X 339160 NY

Addresses

Primary practice location

1182 Troy Schenectady Rd Ste 100
Latham, NY 12110-1000

Mailing address

PO Box 14890
Albany, NY 12212-4890

Other practice location 1

79 Vandenburgh Ave
Troy, NY 12180-6024
Phone (518) 269-4690

Other practice location 2

1735 Route 9
Halfmoon, NY 12065-2421
Phone (518) 269-4690

Other practice location 3

2 Empire Dr Ste 100
Rensselaer, NY 12144-5730
Phone (518) 269-4690

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address payer.credentialing@sphp.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NY2 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
I20240806002312 MA Practitioner - Orthopedic Surgery 5294272498 Reassigns benefits to 2 organizations
I20250818004421 NY Practitioner - Orthopedic Surgery 5294272498 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Pittsburgh School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Peters Hospital of the City of AlbanyGroup PAC ID 2668460072, 268 clinicians
Samaritan Hospital of Troy, New YorkGroup PAC ID 6507770070, 258 clinicians

Practice addresses (Care Compare)

1182 Troy Schenectady Rd
Suite 100
Latham, NY 12110-1000
Phone (518) 713-5400

2 Empire Dr
Suite 100
Rensselaer, NY 12144-5730
Phone (518) 286-4899

315 S Manning Blvd
Albany, NY 12208-1707

Hospital & facility affiliations

  • St Peter'S Hospital Hospital, Albany, NY, CCN 330057
  • Samaritan Hospital of Troy, New York Hospital, Troy, NY, CCN 330180
  • Sunnyview Hospital and Rehabilitation Center Hospital, Schenectady, NY, CCN 330406

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The General Hospital Corporation CurrentSince Jul 29, 2024 Accepting new patients
General Hospital Corp Current Accepting new patients
St. Peter'S Hospital of the City of Albany CurrentSince Sep 22, 2025 Accepting new patients
Samaritan Hospital of Troy, New York CurrentSince May 4, 2026 Accepting new patients
St. Peter'S Hospital of the City of Albany CurrentSince Sep 22, 2025 Accepting new patients
Massachusetts General Physicians Organization Inc Orthopaedic Surgery CurrentSince Jul 29, 2024 Accepting new patients
St. Peter'S Health Partners Medical Associates, P.C. CurrentSince May 4, 2026 Accepting new patients
St. Peter'S Hospitalof the City of Albany Past Accepting new patients

Locations

55 Fruit St
#2
Boston, MA 02114
Phone (617) 726-2967

55 Fruit St
Boston, MA 02114

62 13th St
Charlestown, MA 02129
Phone (617) 724-4260

315 S Manning Blvd
Albany, NY 12208
Phone (518) 525-1852

1735 Route 9
Halfmoon, NY 12065
Phone (518) 269-4690

1182 Troy Schenectady Rd
Ste 100
Latham, NY 12110
Phone (518) 269-4690

2 Empire Dr
Ste 100
Rensselaer, NY 12144
Phone (518) 286-4899

79 Vandenburgh Ave
Troy, NY 12180
Phone (518) 269-4690

Interoperability endpoints

  • Direct secure messaging: amahjoub4568090@direct.trinity-health.org
  • Direct secure messaging: mahjoub.adel.mgh@direct.partners.masshiway.net

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 3

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": "1582502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772409600000",
    "number": "1043844541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14890",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122124890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1182 TROY SCHENECTADY RD STE 100",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121101000",
            "telephone_number": "518-269-4690"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "79 Vandenburgh Ave",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "NY",
            "postal_code": "121806024",
            "country_code": "US",
            "telephone_number": "518-269-4690",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1735 Route 9",
            "address_purpose": "LOCATION",
            "city": "Halfmoon",
            "state": "NY",
            "postal_code": "120652421",
            "country_code": "US",
            "telephone_number": "518-269-4690",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2 Empire Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Rensselaer",
            "state": "NY",
            "postal_code": "121445730",
            "country_code": "US",
            "telephone_number": "518-269-4690",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAHJOUB",
        "first_name": "ADEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-02-24",
        "last_updated": "2026-03-02",
        "certification_date": "2026-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XX0004X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
            "state": "NY",
            "license": "339160",
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NY",
            "license": "339160",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "payer.credentialing@sphp.com",
            "affiliation": "N",
            "endpointDescription": "SPHP Payer Credentialing",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "1182 Troy Schenectady Rd Ste 100",
            "city": "Latham",
            "state": "NY",
            "country_code": "US",
            "postal_code": "121101000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Latham, NY

Sources for this page

Verify at the official NPI Registry.