Individual provider Active NPI

Karen Tedesco, M.D.

  • Hematology & Oncology Physician
  • Amsterdam, NY
National Provider Identifier
1083601124
Registry record updated Mar 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
231176 Issued in NY
Practice address
1700 Riverfront Ctr
Amsterdam, NY 12010-4620
Phone
(518) 843-0020
Fax
(518) 843-0023
NPI assigned
Oct 4, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 231176 NY Primary

Addresses

Primary practice location

1700 Riverfront Ctr
Amsterdam, NY 12010-4620

Mailing address

1700 Riverfront Ctr
Amsterdam, NY 12010-4620
Phone (518) 843-0020

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
I20040608000527 NY Practitioner - Medical OncologyPractitioner - Hematology/Oncology 0941283329 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Medical OncologyAlso: Hematology/Oncology
Education
State University of Ny Upstate Medical University, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New York Oncology Hematology PCGroup PAC ID 3072406222, 82 clinicians

Practice addresses (Care Compare)

1700 Riverfront Ctr
Amsterdam, NY 12010-4620
Phone (518) 843-0020

Hospital & facility affiliations

  • Albany Medical Center Hospital Hospital, Albany, NY, CCN 330013
  • St Marys Healthcare Hospital, Amsterdam, NY, CCN 330047
  • Nathan Littauer Hospital Hospital, Gloversville, NY, CCN 330276
  • St Peter'S Hospital Hospital, Albany, NY, CCN 330057
  • Samaritan Hospital of Troy, New York Hospital, Troy, NY, CCN 330180

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
New York Oncology Hematology, P.C. Hematology & Oncology CurrentSince Sep 1, 2004 Accepting new patients
New York Oncology Hematology PC CurrentSince Sep 1, 2004 Accepting new patients

Locations

400 Patroon Creek Blvd
Ste 1
Albany, NY 12206
Phone (518) 399-4600

43 New Scotland Ave
#C
Albany, NY 12208
Phone (518) 262-6696

1700 Riverfront Ctr
Amsterdam, NY 12010
Phone (518) 483-0020

159 Jefferson Hts
Ste D202
Catskill, NY 12414
Phone (518) 943-5314

449 Route 146
#101
Halfmoon, NY 12065
Phone (518) 373-3800

69 Prospect Ave
Hudson, NY 12534
Phone (212) 459-8173

896 Riverview Rd
Rexford, NY 12148
Phone (518) 399-4600

Interoperability endpoints

  • Direct secure messaging: ktedesco788456@direct.trinity-health.org

Organizations & group practices 2

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 12

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": "1128384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553040000000",
    "number": "1083601124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 RIVERFRONT CTR",
            "city": "AMSTERDAM",
            "state": "NY",
            "postal_code": "120104620",
            "telephone_number": "518-843-0020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 RIVERFRONT CTR",
            "city": "AMSTERDAM",
            "state": "NY",
            "postal_code": "120104620",
            "telephone_number": "518-843-0020",
            "fax_number": "518-843-0023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEDESCO",
        "first_name": "KAREN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-04",
        "last_updated": "2019-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NY",
            "license": "231176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amsterdam, NY

Sources for this page

Verify at the official NPI Registry.