Active NPI
Daniel J Arenos, M.D.
- Family Medicine Physician
- Albany, NY
National Provider Identifier
1285604231
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 180403-1
- Practice address
- 2 Executive Park Dr
Ste 1
Albany, NY 12203-3700 - Phone
- (518) 456-4200
- Fax
- (518) 456-4220
- NPI assigned
- Jan 24, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 180403-1 | NY | Primary |
Addresses
Primary practice location
2 Executive Park Dr
Ste 1
Albany, NY 12203-3700
Mailing address
2 Executive Park Dr
Ste 1
Albany, NY 12203-3700
Phone (518) 456-4200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01234931 | Medicaid | NY |
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: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040806000755 | NY | Practitioner - Family Practice | 1153392212 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Albany Medical College of Union University, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
2 Executive Park Dr
Albany, NY 12203-3700
Phone (518) 456-4200
Hospital & facility affiliations
- St Peter'S Hospital
- Ellis Hospital
- Sunnyview Hospital and Rehabilitation Center
- Albany Medical Center Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 180403-1 | NY | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Care Physicians, PC | Family Medicine | Past | Accepting new patients |
Interoperability endpoints
- darenos93878@albanymed.direct-ci.com
Organizations & group practices 2
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 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Ambulatory Surgical Clinic/Center
- Niskayana, NY
- NPI 1154973071
Hospital
-
- General Acute Care Hospital
- Albany, NY
- NPI 1497701106
Hospital
-
- General Acute Care Hospital
- Schenectady, NY
- NPI 1578664470
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138060800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551830400000",
"number": "1285604231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 EXECUTIVE PARK DR",
"address_2": "STE 1",
"city": "ALBANY",
"state": "NY",
"postal_code": "122033700",
"telephone_number": "518-456-4200",
"fax_number": "518-456-4220"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 EXECUTIVE PARK DR",
"address_2": "STE 1",
"city": "ALBANY",
"state": "NY",
"postal_code": "122033700",
"telephone_number": "518-456-4200",
"fax_number": "518-456-4220"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ARENOS",
"first_name": "DANIEL",
"middle_name": "J",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-24",
"last_updated": "2019-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "180403-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01234931",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}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 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.