NPIMap

Organization Active NPI

Critical Care Telemedicine, PLLC

  • Critical Care Medicine (Internal Medicine) Physician
  • Albany, NY
National Provider Identifier
1225508179
Registry record updated Mar 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
Legal business name
CRITICAL CARE TELEMEDICINE, PLLC
Doing business as
Critical Care Telemedicine, PLLC
Practice address
1971 Western Ave # 197
Albany, NY 12203-5066
Phone
(518) 360-1718
NPI assigned
Dec 4, 2018
Last updated
Mar 1, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2021

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

Authorized official

Name
Michael Dinkels, MDNPI 1043457674
Title
Owner
Phone
(518) 360-1526

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X Primary

Addresses

Primary practice location

1971 Western Ave # 197
Albany, NY 12203-5066

Mailing address

1971 Western Ave # 197
Albany, NY 12203-5066
Phone (518) 360-1526

Other names 1

  • Critical Care Telemedicine, PLLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190213000060 NY Part B Supplier - Clinic/Group Practice 2264770593 Receives reassigned benefits from 3 practitioners
Practice locations: Albany, NY; Gloversville, NY; Oswego, NY

National Provider Directory

National Provider Directory

Locations

1971 Western Ave
#197
Albany, NY 12203
Phone (518) 360-1526

3 Corporate Dr
Ste 201
Halfmoon, NY 12065

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1543881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614556800000",
    "number": "1225508179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1971 WESTERN AVE # 197",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122035066",
            "telephone_number": "518-360-1526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1971 WESTERN AVE # 197",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122035066",
            "telephone_number": "518-360-1718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRITICAL CARE TELEMEDICINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-04",
        "last_updated": "2021-03-01",
        "certification_date": "2021-03-01",
        "status": "A",
        "authorized_official_last_name": "DINKELS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "518-360-1526",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Critical Care Telemedicine, PLLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Critical Care Telemedicine, PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Albany, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.