Individual provider Active NPI

Michael Huppmann, M.D.

  • Diagnostic Radiology Physician
  • Albany, NY
National Provider Identifier
1164628467
Registry record updated May 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
317511 Issued in NY
Practice address
47 New Scotland Ave
Albany, NY 12208-3412
Phone
(518) 262-3277
NPI assigned
Jun 23, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 84059 SC
Diagnostic Radiology Physician 2085R0202X 23821 NE
Diagnostic Radiology Physician 2085R0202X D70681 MD
Diagnostic Radiology Physician 2085R0202X 317511 NY Primary

Addresses

Primary practice location

47 New Scotland Ave
Albany, NY 12208-3412

Mailing address

6 Wellness Way Ste 201
Latham, NY 12110-2156
Phone (518) 782-3700

Other identifiers 1

IdentifierTypeStateIssuer
698707900MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC, SC, NY4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20100913000033 MD Practitioner - Diagnostic Radiology 7315062536 Reassigns benefits to 4 organizations
I20111107000397 DC Practitioner - Diagnostic Radiology 7315062536 Reassigns benefits to 4 organizations
I20200702000866 SC Practitioner - Diagnostic Radiology 7315062536 Reassigns benefits to 7 organizations
I20220909001471 NY Practitioner - Diagnostic Radiology 7315062536 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Virginia Commonwealth University, School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Care Physicians PLLCGroup PAC ID 8022904473, 361 clinicians
Medstar Medical Group II LLCGroup PAC ID 0547413825, 3,726 clinicians
Albany Medical Center HospitalGroup PAC ID 8224018999, 45 clinicians
Columbia Memorial HospitalGroup PAC ID 5092709410, 171 clinicians

Practice addresses (Care Compare)

Simpsonville, SC 29681
Phone (518) 262-3277

1406 Crain S Hwy 106
Glen Burnie, MD 21061-4086
Phone (410) 768-6440

168 Reserve Dr
Piedmont, SC 29673-6733
Phone (518) 262-2397

214 Winter Brook LN
Simpsonville, SC 29681-5180
Phone (703) 558-1400

711 Troy Schenectady Rd
Suite 114
Latham, NY 12110-2454
Phone (518) 786-1600

9000 Franklin Square Dr
Baltimore, MD 21237-3901
Phone (443) 777-7000

Hospital & facility affiliations

  • Albany Medical Center Hospital Hospital, Albany, NY, CCN 330013
  • Columbia Memorial Hospital Hospital, Hudson, NY, CCN 330094
  • Medstar Franklin Square Medical Center Hospital, Rosedale, MD, CCN 210015
  • Medstar Montgomery Medical Center Hospital, Olney, MD, CCN 210018
  • St Peter'S Hospital Hospital, Albany, NY, CCN 330057

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D70681MDMDDiagnostic Radiology Physician
23821NEMDDiagnostic Radiology Physician
317511NYMDDiagnostic Radiology Physician
84059SCMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Columbia Memorial Hospital CurrentSince Aug 29, 2022 Accepting new patients
Columbia Memorial Hospital CurrentSince Aug 1, 2022 Accepting new patients
Medstar Medical Group Radiology, LLC Diagnostic Radiology CurrentSince Jul 1, 2016 Accepting new patients
Albany Medical Center Hospital Diagnostic Radiology CurrentSince Aug 29, 2022 Accepting new patients
Physician Imaging of Washington Hospital Center, LLC Diagnostic Radiology CurrentSince May 1, 2017 Accepting new patients
Medstar Medical Group II LLC CurrentSince Feb 3, 2014 Accepting new patients
Community Care Physicians, PLLC Diagnostic Radiology CurrentSince Jun 7, 2022 Accepting new patients
Ellis Hospital CurrentSince Aug 29, 2022 Accepting new patients
Columbia Memorial Hospital CurrentSince Aug 1, 2022 Accepting new patients
Medstar Medical Group - Southern Maryland LLC Current Accepting new patients
Physician Imaging of Washington Hospital Center LLC Diagnostic Radiology CurrentSince May 1, 2017 Accepting new patients
Medstar Medical Group - Southern Maryland LLC CurrentSince Aug 21, 2017 Accepting new patients
Medstar Medical Group II LLC CurrentSince Sep 15, 2024 Accepting new patients
Physician Imaging of Washington Hospital Center, LLC Diagnostic Radiology Current Accepting new patients
MGMC, LLC CurrentSince Feb 3, 2014 Accepting new patients
Physician Imaging of Washington Hospital Center, LLC Diagnostic Radiology CurrentSince Jun 17, 2023 Accepting new patients
Physician Imaging of Washington Hospital Center LLC Diagnostic Radiology CurrentSince May 1, 2017 Accepting new patients
Medstar Medical Group II LLC Past Accepting new patients

Locations

110 Irving St NW
Rm BA94
Washington, DC 20010
Phone (202) 877-6429

1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401

3800 Reservoir Rd NW
Washington, DC 20007
Phone (202) 687-2203

1120 20th St NW
Washington, DC 20036
Phone (202) 416-2000

12 Medstar Blvd
Bel Air, MD 21015
Phone (410) 877-8087

3001 S Hanover St
Brooklyn Park, MD 21225
Phone (410) 350-3200

29955 Three Notch Rd
Ste 100
Charlotte Hall, MD 20622
Phone (301) 290-5300

5454 Wisconsin Ave
Ste 1700
Chevy Chase, MD 20815
Phone (301) 656-8100

1406 Crain Hwy S
Ste 106
Glen Burnie, MD 21061
Phone (410) 768-6440

24035 Three Notch Rd
Hollywood, MD 20636
Phone (301) 373-2588

12158 Central Ave
Ste 100
Mitchellville, MD 20721
Phone (301) 430-2750

18101 Prince Philip Dr
Olney, MD 20832
Phone (301) 774-8618

9000 Franklin Square Dr
Rosedale, MD 21237
Phone (410) 682-7000

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

71 Prospect Ave
Hudson, NY 12534
Phone (518) 262-3773

6 Wellness Way
Ste 201
Latham, NY 12110
Phone (518) 782-3900

711 Troy Schenectady Rd
Ste 210
Latham, NY 12110

711 Troy Schenectady Rd
Ste 203
Latham, NY 12110
Phone (518) 782-3742

711 Troy Schenectady Rd
Ste 114
Latham, NY 12110
Phone (518) 783-7070

1101 Nott St
Schenectady, NY 12308
Phone (518) 243-1916

600 McClellan St
Schenectady, NY 12304
Phone (518) 382-2000

2827 US Highway 9
Valatie, NY 12184
Phone (518) 828-7601

Interoperability endpoints

  • Direct secure messaging: mhuppmann25586@albanymed.direct-ci.com

Organizations & group practices 18

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.

View all 18

Hospital & facility affiliations 9

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": "1182556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715212800000",
    "number": "1164628467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 WELLNESS WAY STE 201",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121102156",
            "telephone_number": "518-782-3700",
            "fax_number": "518-782-3799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 NEW SCOTLAND AVE",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122083412",
            "telephone_number": "518-262-3277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUPPMANN",
        "first_name": "MICHAEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-23",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "SC",
            "license": "84059",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NE",
            "license": "23821",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MD",
            "license": "D70681",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "317511",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "698707900",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.