Louis Peter Decunzo Jr., MD

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

License

201484 Issued in NY

Practice address

14 Hudson Avenue
Surgical Specialists of Glens Falls Hospital
Glens Falls, NY 12801-4443

Phone

(518) 926-5600

Fax

(518) 926-5605

NPI assigned

Nov 17, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Electronic endpoints 1

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

Merit-based Incentive Payment System (MIPS)

Final score

88.88 of 100Reported as apm

Quality

71.44

Promoting interoperability

97.95

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Glens Falls Hospital Inc.

  • Family Medicine Physician
  • Glens Falls, NY
  • NPI 1336198217

  Thoracic Surgery (Cardiothoracic Vascular Surgery)

  Medicare reassignment NPD
• Glens Falls Hospital Inc

  • Community/Retail Pharmacy
  • Glens Falls, NY
  • NPI 1619990991
  NPD
• Adirondack Surgical Associates, PC

  • Specialist
  • Glens Falls, NY
  • NPI 1003858580
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1132185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644451200000",
    "number": "1124000864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 PARK STREET",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128014413",
            "telephone_number": "518-926-5924",
            "fax_number": "518-926-6983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 HUDSON AVENUE",
            "address_2": "SURGICAL SPECIALISTS OF GLENS FALLS HOSPITAL",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128014443",
            "telephone_number": "518-926-5600",
            "fax_number": "518-926-5605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DECUNZO",
        "first_name": "LOUIS",
        "middle_name": "PETER",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-17",
        "last_updated": "2022-02-10",
        "certification_date": "2022-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "NY",
            "license": "201484",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01617601",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00402831",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "louis.decunzo@cdirectglensfallshosp.org",
            "affiliation": "N",
            "address_1": "14 Hudson Avenue",
            "address_2": "Surgical Specialists of Glens Falls Hospital",
            "city": "Glens Falls",
            "state": "NY",
            "country_code": "US",
            "postal_code": "128014443",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• DB Hearing Solutions, Inc.
• Anthony J Debboli, PHARMD
• Stephanie L Dechene, LCSW
• Bradley A Decker
• Haley Decker, PA-C
• Mara Willis Dejonghe, M.S., CCC-SLP
• Joanne M. Della Valle, LCSW
• Andrew Delsignore
• Rachel Deluca
• Rebecca C Deluca, PT

• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Glens Falls, NY
• Providers in Glens Falls, NY by specialty
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2022; 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.

Verify at the official NPI Registry.