Individual provider Active NPI

Alpha Opese, DPM

  • Foot & Ankle Surgery Podiatrist
  • Amsterdam, NY
National Provider Identifier
1184144719
Registry record updated Jul 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
007116 Issued in NY
Practice address
446A Guy Park Ave.
Podiatry Health Center
Amsterdam, NY 12010-1005
Phone
(518) 770-7880
NPI assigned
Jun 25, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 007116 NY Primary

Addresses

Primary practice location

446A Guy Park Ave.
Podiatry Health Center
Amsterdam, NY 12010-1005

Mailing address

446A Guy Park Ave.
Podiatry Health Center
Amsterdam, NY 12010-1005
Phone (518) 770-7880

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200902001512 NY Practitioner - Podiatry 6406273663 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St. Mary'S HealthcareGroup PAC ID 7618960709, 114 clinicians

Practice addresses (Care Compare)

425 Guy Park Ave
Amsterdam, NY 12010-1043
Phone (518) 842-0373

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue29
Removal of nail tissue176
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
007116NYMDNutritionist

Practice roles

OrganizationSpecialtyStatusNew patients
St. Mary'S Healthcare CurrentSince Sep 1, 2020 Accepting new patients
St Marys Healthcare CurrentSince Sep 1, 2020 Accepting new patients
St. Mary'S Healthcare PastSince Aug 2, 2020 Accepting new patients

Locations

4988 State Highway 30
Amsterdam, NY 12010
Phone (518) 842-3100

446A Guy Park Ave
Amsterdam, NY 12010
Phone (518) 770-7880

425 Guy Park Ave
Amsterdam, NY 12010
Phone (518) 842-3330

380 Guy Park Ave
Amsterdam, NY 12010
Phone (518) 841-7415

427 Guy Park Ave
Amsterdam, NY 12010
Phone (518) 442-1404

Organizations & group practices 3

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 2

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": "1498348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596153600000",
    "number": "1184144719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "446A GUY PARK AVE.",
            "address_2": "PODIATRY HEALTH CENTER",
            "city": "AMSTERDAM",
            "state": "NY",
            "postal_code": "120101005",
            "telephone_number": "518-770-7880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "446A GUY PARK AVE.",
            "address_2": "PODIATRY HEALTH CENTER",
            "city": "AMSTERDAM",
            "state": "NY",
            "postal_code": "120101005",
            "telephone_number": "518-770-7880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OPESE",
        "first_name": "ALPHA",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-25",
        "last_updated": "2020-07-31",
        "certification_date": "2020-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "007116",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amsterdam, NY

Sources for this page

Verify at the official NPI Registry.