NPIMap

Individual provider Active NPI

Wilfred M Victorina, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Albany, NY
National Provider Identifier
1083660351
Registry record updated Jul 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
ME126126 Issued in FL
Practice address
220 Washington Avenue Ext
Albany, NY 12203-5316
Phone
(518) 489-4704
Fax
(518) 489-0512
NPI assigned
May 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 36980 KY
Endocrinology, Diabetes & Metabolism Physician 207RE0101X MD432714 PA
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 324056 NY
Endocrinology, Diabetes & Metabolism Physician 207RE0101X ME126126 FL Primary

Addresses

Primary practice location

220 Washington Avenue Ext
Albany, NY 12203-5316

Mailing address

220 Washington Avenue Ext
Albany, NY 12203-5316
Phone (518) 489-4704

Other identifiers 3

IdentifierTypeStateIssuer
64041114MedicaidKY
2517486MedicaidOH
07791019MedicaidNY

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
I20230731001584 NY Practitioner - Endocrinology 6800784588 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Albany Medical CollegeGroup PAC ID 1759293111, 1,054 clinicians

Practice addresses (Care Compare)

47 New Scotland Ave
Albany, NY 12208-3412
Phone (518) 262-5633

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

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Albany Medical College Endocrinology, Diabetes & Metabolism CurrentSince Jun 14, 2023 Accepting new patients
Albany Medical College CurrentSince Jun 14, 2023 Accepting new patients
Albany Medical College Endocrinology, Diabetes & Metabolism CurrentSince Jun 14, 2023 Accepting new patients
Cincinnati Health Care Group PSC Past Accepting new patients
Albany Medical College Endocrinology, Diabetes & Metabolism Past Accepting new patients

Locations

1365 Washington Ave
Ste 300
Albany, NY 12206
Phone (518) 489-4704

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

220 Washington Avenue Ext
Albany, NY 12203
Phone (518) 264-4460

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.

Hospital & facility affiliations 6

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": "1148601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752019200000",
    "number": "1083660351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 WASHINGTON AVENUE EXT",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122035316",
            "telephone_number": "518-489-4704",
            "fax_number": "518-489-0512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 WASHINGTON AVENUE EXT",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122035316",
            "telephone_number": "518-489-4704",
            "fax_number": "518-489-0512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VICTORINA",
        "first_name": "WILFRED",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-26",
        "last_updated": "2025-07-09",
        "certification_date": "2025-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "KY",
            "license": "36980",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "PA",
            "license": "MD432714",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "NY",
            "license": "324056",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "FL",
            "license": "ME126126",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64041114",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2517486",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "07791019",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.