NPIMap

Individual provider Active NPI

Luiz C Coelho, MD

  • Internal Medicine Physician
  • Albany, NY
National Provider Identifier
1164564514
Registry record updated May 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
246135 Issued in NY
Practice address
7 Southwoods Blvd
3Rd FL Capital Cardiology Associates PC
Albany, NY 12211-2526
Phone
(518) 292-6000
Fax
(518) 641-6766
NPI assigned
Feb 13, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 246135 NY
Internal Medicine Physician 207R00000X 246135 NY Primary

Addresses

Primary practice location

7 Southwoods Blvd
3Rd FL Capital Cardiology Associates PC
Albany, NY 12211-2526

Mailing address

7 Southwoods Blvd
3Rd FL Capital Cardiology Associates PC
Albany, NY 12211-2526
Phone (518) 292-6000

Other practice location 1

315 S Manning Blvd
Albany, NY 12208-1707
Phone (518) 525-1550

Other identifiers 2

IdentifierTypeStateIssuer
02928449MedicaidNY
2147220MedicaidMA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address payer.credentialing@sphp.com Direct

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
I20071204000632 NY Practitioner - Internal Medicine 6800985466 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

301 Hackett Blvd
Albany, NY 12208-1963
Phone (518) 525-7600

Hospital & facility affiliations

  • Community Hospice, Inc, the Hospice, Albany, NY, CCN 331501
  • St Peter'S Hospital Hospital, Albany, NY, CCN 330057
  • Teresian House Nursing Home Co Inc Nursing home, Albany, NY, CCN 335627
  • St Peters Nursing and Rehabilitation Center Nursing home, Albany, NY, CCN 335128
  • Our Lady of Mercy Life Center Nursing home, Guilderland, NY, CCN 335767
  • Eddy Heritage House Nursing and Rehabilitation Ctr Nursing home, Troy, NY, CCN 335760

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
246135NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
LC Coelho Medical PLLC Internal Medicine CurrentSince Dec 26, 2012 Accepting new patients
St. Peter'S Hospital of the City of Albany Internal Medicine CurrentSince Jul 5, 2008 Accepting new patients
Samaritan Hospital of Troy, New York Internal Medicine CurrentSince Jan 1, 2020 Accepting new patients
St. Peter'S Hospital of the City of Albany Internal Medicine CurrentSince Jul 5, 2008 Accepting new patients
Heritage House Nursing Center, Inc Past Accepting new patients
Validus Medical, PC PastSince Jul 27, 2020 Accepting new patients
Teresian House Nursing Home Co Inc Past Accepting new patients
Villa Mary Immaculate Past Accepting new patients
Our Lady of Mercy Life Center Past Accepting new patients

Locations

315 S Manning Blvd
Albany, NY 12208
Phone (518) 525-1852

301 Hackett Blvd
Albany, NY 12208
Phone (518) 525-1297

2 Mercycare Ln
Guilderland, NY 12084
Phone (518) 464-8100

2215 Burdett Ave
Troy, NY 12180
Phone (518) 271-3300

Interoperability endpoints

  • Direct secure messaging: lcoelho788956@direct.trinity-health.org

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
UnidineAlbany, NY, CCN 335627 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Aug 1, 2019
Aug 1, 2019

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 9

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": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620777600000",
    "number": "1164564514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 SOUTHWOODS BLVD",
            "address_2": "3RD FL CAPITAL CARDIOLOGY ASSOCIATES PC",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122112526",
            "telephone_number": "518-292-6000",
            "fax_number": "518-641-6766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 SOUTHWOODS BLVD",
            "address_2": "3RD FL CAPITAL CARDIOLOGY ASSOCIATES PC",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122112526",
            "telephone_number": "518-292-6000",
            "fax_number": "518-641-6766"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "315 S Manning Blvd",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "NY",
            "postal_code": "122081707",
            "country_code": "US",
            "telephone_number": "518-525-1550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COELHO",
        "first_name": "LUIZ",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-13",
        "last_updated": "2021-05-12",
        "certification_date": "2021-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NY",
            "license": "246135",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "246135",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02928449",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2147220",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "payer.credentialing@sphp.com",
            "affiliation": "N",
            "endpointDescription": "SPHP- Payer Credentialing",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "315 S Manning Blvd",
            "city": "Albany",
            "state": "NY",
            "country_code": "US",
            "postal_code": "122081707",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.