Active NPI
Daniel Thor Lavelle, M.D.,PH.D.
- Internal Medicine Physician
- Cohoes, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 280538
- Practice address
- 1019 New Loudon Rd
Cohoes, NY 12047-5003 - Phone
- (518) 262-7500
- NPI assigned
- May 6, 2011
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 280538 | NY | Primary |
| Pediatrics Physician | 208000000X | 280538 | NY |
Addresses
Primary practice location
1019 New Loudon Rd
Cohoes, NY 12047-5003
Mailing address
1019 New Loudon Rd
Cohoes, NY 12047-5003
Phone (518) 262-7500
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
47 New Scotland Ave
Albany, NY 12208-3412
Phone (518) 262-5633
Hospital & facility affiliations
- Albany Medical Center Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Albany Medical College | Current | Accepting new patients | |
| Albany Medical College | Current | Accepting new patients | |
| Albany Medical College | Pediatrics | Current | Accepting new patients |
| Albany Medical College | Internal Medicine | Current | Accepting new patients |
| Albany Medical College | Internal Medicine | Current | Accepting new patients |
| Albany Medical College | Internal Medicine | Current | Accepting new patients |
Locations
47 New Scotland Ave
Albany, NY 12208
Phone (518) 262-3773
1019 New Loudon Rd
Ste A101
Cohoes, NY 12047
1019 New Loudon Rd
Cohoes, NY 12047
Phone (518) 262-7500
724 Watervliet Shaker Rd
Latham, NY 12110
Phone (518) 262-7500
Interoperability endpoints
- dlavelle33876@albanymed.direct-ci.com
Organizations & group practices 6
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.
-
- Urgent Care Clinic/Center
- Albany, NY
- NPI 1386038925
-
- Allergy & Immunology Physician
- Albany, NY
- NPI 1386689248
-
- Physical Medicine & Rehabilitation Physician
- Albany, NY
- NPI 1629008537
Internal Medicine
-
- Adolescent Medicine (Family Medicine) Physician
- Albany, NY
- NPI 1700816626
Internal Medicine
-
- Pediatrics Physician
- Albany, NY
- NPI 1750315636
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Ambulatory Surgical Clinic/Center
- Niskayana, NY
- NPI 1154973071
Hospital
-
- General Acute Care Hospital
- Albany, NY
- NPI 1376577247
-
- General Acute Care Hospital
- Albany, NY
- NPI 1811917461
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621900800000",
"number": "1114219201",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1019 NEW LOUDON RD",
"city": "COHOES",
"state": "NY",
"postal_code": "120475003",
"telephone_number": "518-262-7500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1019 NEW LOUDON RD",
"city": "COHOES",
"state": "NY",
"postal_code": "120475003",
"telephone_number": "518-262-7500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAVELLE",
"first_name": "DANIEL",
"middle_name": "THOR",
"name_prefix": "Dr.",
"credential": "M.D.,PH.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-05-06",
"last_updated": "2021-05-25",
"certification_date": "2021-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "280538",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "280538",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cohoes, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2021; 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.