Individual provider Active NPI

Radana Dooley, MD

  • Physical Medicine & Rehabilitation Physician
  • Schenectady, NY
National Provider Identifier
1063457349
Registry record updated Jun 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
240475 Issued in NY
Practice address
1270 Belmont Avenue
Schenectady, NY 12308
Phone
(518) 382-4560
Fax
(518) 386-3619
NPI assigned
Jun 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 240475 NY Primary

Addresses

Primary practice location

1270 Belmont Avenue
Schenectady, NY 12308

Mailing address

1270 Belmont Avenue
Schenectady, NY 12308
Phone (518) 382-4560

Other identifiers 1

IdentifierTypeStateIssuer
02777291MedicaidNY

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
I20060818000317 NY Practitioner - Physical Medicine and Rehabilitation 4880697572 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Pain Management Services PLLCGroup PAC ID 5395701544, 15 clinicians

Practice addresses (Care Compare)

116 Everett Rd
Albany, NY 12205-1427

3 Care LN
Saratoga Springs, NY 12866-8639
Phone (518) 682-2240

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
John C. Herzog, DO, PLLC CurrentSince Oct 16, 2017 Accepting new patients
John C. Herzog, DO, PLLC CurrentSince Oct 16, 2017 Accepting new patients
Sunnyview Hospital and Rehabilitation Center Physical Medicine & Rehabilitation CurrentSince Oct 1, 2011 Accepting new patients
Medical Pain Management Services, PLLC CurrentSince May 3, 2022 Accepting new patients
Sand Creek Medical PC Past Accepting new patients

Locations

116 Everett Rd
Albany, NY 12205
Phone (518) 463-0171

7 Murray St
Glens Falls, NY 12801
Phone (518) 743-1010

2388 Route 9
Mechanicville, NY 12118
Phone (518) 587-0845

3 Care Ln
Ste 302
Saratoga Springs, NY 12866
Phone (518) 682-2240

31 Myrtle St
Saratoga Springs, NY 12866
Phone (518) 262-0900

3 Care Ln
Saratoga Springs, NY 12866
Phone (518) 226-6000

1270 Belmont Ave
Schenectady, NY 12308
Phone (518) 382-4500

Organizations & group practices 5

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": "1150675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1338768000000",
    "number": "1063457349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1270 BELMONT AVENUE",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "12308",
            "telephone_number": "518-382-4560",
            "fax_number": "518-386-3619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1270 BELMONT AVENUE",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "12308",
            "telephone_number": "518-382-4560",
            "fax_number": "518-386-3619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOOLEY",
        "first_name": "RADANA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-19",
        "last_updated": "2012-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "240475",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02777291",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Schenectady, NY

Sources for this page

Verify at the official NPI Registry.