Active NPI
Adel Mahjoub, MD
- Orthopaedic Foot and Ankle Surgery Physician
- Latham, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Foot and Ankle Surgery Physician
- License
- 339160
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | payer.credentialing@sphp.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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
- Samaritan Hospital of Troy, New York
- Sunnyview Hospital and Rehabilitation Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The General Hospital Corporation | Current | Accepting new patients | |
| General Hospital Corp | Current | Accepting new patients | |
| St. Peter'S Hospital of the City of Albany | Current | Accepting new patients | |
| Samaritan Hospital of Troy, New York | Current | Accepting new patients | |
| St. Peter'S Hospital of the City of Albany | Current | Accepting new patients | |
| Massachusetts General Physicians Organization Inc | Orthopaedic Surgery | Current | Accepting new patients |
| St. Peter'S Health Partners Medical Associates, P.C. | Current | 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
- amahjoub4568090@direct.trinity-health.org
- 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.
-
- General Acute Care Hospital
- Troy, NY
- NPI 1043267727
-
- General Acute Care Hospital
- Albany, NY
- NPI 1518042357
-
- Multi-Specialty Clinic/Center
- Albany, NY
- NPI 1750626834
-
- Dermatology Physician
- Boston, MA
- NPI 1801874573
Orthopaedic Surgery
-
- General Acute Care Hospital
- Boston, MA
- NPI 1023049236
-
- General Acute Care Hospital
- Albany, NY
- NPI 1497701106
-
- General Acute Care Hospital
- Boston, MA
- NPI 1508390014
-
- Obstetrics & Gynecology Physician
- Albany, NY
- NPI 1386715621
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Troy, NY
- NPI 1043267727
-
- General Acute Care Hospital
- Albany, NY
- NPI 1497701106
-
- General Acute Care Hospital
- Schenectady, NY
- NPI 1578664470
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.