Individual provider Active NPI

Allison R Detommasi, MD

  • Cardiovascular Disease Physician
  • Troy, NY
National Provider Identifier
1194719625
Registry record updated Jan 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
213099 Issued in NY
Practice address
2231 Burdett Ave
Ste 160
Troy, NY 12180-2447
Phone
(518) 292-6200
Fax
(518) 292-6228
NPI assigned
Sep 12, 2005
Last updated
Jan 30, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 213099 NY Primary

Addresses

Primary practice location

2231 Burdett Ave
Ste 160
Troy, NY 12180-2447

Mailing address

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

Other identifiers 4

IdentifierTypeStateIssuer
1009925MedicaidVT
02385133MedicaidNY
2026279MedicaidMA
P00007122OtherNYRR MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, VT2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20051005000745 NY Practitioner - Cardiovascular Disease (Cardiology) 3678508934 Reassigns benefits to 2 organizations
I20250116001856 VT Practitioner - Cardiovascular Disease (Cardiology) 3678508934 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Albany Medical College of Union University, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Southwestern Vermont Medical Center, IncGroup PAC ID 0143138446, shared by 3 NPIs, 174 clinicians

Practice addresses (Care Compare)

100 Hospital Dr
Bennington, VT 05201-5004
Phone (802) 442-6361

140 Hospital Dr
Suite 211
Bennington, VT 05201-5015
Phone (802) 442-0800

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southwestern Vermont Medical Center Inc. Cardiovascular Disease CurrentSince Jan 1, 2025 Accepting new patients
Southwestern Vermont Medical Center Inc. CurrentSince Jan 1, 2025 Accepting new patients
Community Care Physicians, PLLC CurrentSince Mar 1, 2020 Accepting new patients
Southwestern Vermont Medical Center, Inc Past Accepting new patients
Burdett Orthopedics, PC PastSince Mar 1, 2010 Accepting new patients
Athletic Dynamics LLC Past Accepting new patients

Locations

7 Southwoods Blvd
Albany, NY 12211
Phone (518) 292-6060

7 Southwoods Blvd
Fl 4
Albany, NY 12211
Phone (518) 641-6775

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

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

711 Troy Schenectady Rd
Ste 210
Latham, NY 12110

100 Hospital Dr
Bennington, VT 05201
Phone (802) 447-4509

100 Hospital Dr
#44
Bennington, VT 05201
Phone (802) 442-4509

120 Hospital Dr
Bennington, VT 05201
Phone (802) 440-4077

140 Hospital Dr
Ste 116
Bennington, VT 05201
Phone (802) 447-1836

140 Hospital Dr
Ste 211
Bennington, VT 05201
Phone (802) 442-0800

Interoperability endpoints

  • Direct secure messaging: allison.detommasi.1@3744.direct.athenahealth.com

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1126483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422576000000",
    "number": "1194719625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 SOUTHWOODS BLVD",
            "address_2": "CAPITAL CARDIOLOGY ASSOCIATES, PC",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122112526",
            "telephone_number": "518-292-6000",
            "fax_number": "518-292-6050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2231 BURDETT AVE",
            "address_2": "STE 160",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121802447",
            "telephone_number": "518-292-6200",
            "fax_number": "518-292-6228"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DETOMMASI",
        "first_name": "ALLISON",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-12",
        "last_updated": "2015-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "213099",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1009925",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02385133",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2026279",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00007122",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, NY

Sources for this page

Verify at the official NPI Registry.