Individual provider Active NPI

Alexander Simao Jr., DO

  • Family Medicine Physician
  • Schenectady, NY
National Provider Identifier
1336599216
Registry record updated Oct 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
300876 Issued in NY
Practice address
1044 State St
Schenectady, NY 12307-1508
Phone
(518) 370-1441
Fax
(518) 395-9431
NPI assigned
Jun 21, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 300876 NY Primary

Addresses

Primary practice location

1044 State St
Schenectady, NY 12307-1508

Mailing address

624 McClellan St
Suite 101
Schenectady, NY 12304-1020
Phone (518) 347-5293

Other identifiers 3

IdentifierTypeStateIssuer
331833OtherNYMEDICARE OSCAR
02995513MedicaidNY
53099AOtherNYMEDICARE UPIN

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200108000574 NY Practitioner - Family Practice 5092149682 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of New England, College of Osteo Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1804 2ND Ave
Watervliet, NY 12189-2818
Phone (518) 833-6900

900 Lark Dr
Albany, NY 12207-1300
Phone (518) 465-4771

920 Lark Dr
Albany, NY 12207-1300
Phone (518) 465-4771

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
300876NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Schenectady Family Health Services, Inc. CurrentSince Nov 13, 2019 Accepting new patients
Whitney M Young Jr Health Center Inc CurrentSince Aug 10, 2023 Accepting new patients
Schenectady Family Health Services, Inc. Family Medicine CurrentSince Nov 13, 2019 Accepting new patients
Whitney M. Young, Jr. Health Center, Inc. CurrentSince Aug 10, 2023 Accepting new patients
Whitney M. Young, Jr. Health Center, Inc. Past Accepting new patients
Schenectady Family Health Services, Inc. Past Accepting new patients
Schenectady Family Health Services, Inc. Family Medicine Past Accepting new patients
Whitney M. Young Jr. Health Center, Inc. Past Accepting new patients
Schenectady Family Health Services, Inc. Past Accepting new patients

Locations

920 Lark Dr
Albany, NY 12207
Phone (518) 427-0102

1044 State St
Schenectady, NY 12307
Phone (518) 370-1441

Interoperability endpoints

  • Direct secure messaging: alexander.simao.1@22063.direct.athenahealth.com

Organizations & group practices 9

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 1

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": "1466467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602720000000",
    "number": "1336599216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "624 MCCLELLAN ST",
            "address_2": "SUITE 101",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123041020",
            "telephone_number": "518-347-5293",
            "fax_number": "518-347-5196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1044 STATE ST",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123071508",
            "telephone_number": "518-370-1441",
            "fax_number": "518-395-9431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMAO",
        "first_name": "ALEXANDER",
        "name_suffix": "Jr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-21",
        "last_updated": "2020-10-15",
        "certification_date": "2020-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "300876",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE OSCAR",
            "identifier": "331833",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02995513",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE UPIN",
            "identifier": "53099A",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Schenectady, NY

Sources for this page

Verify at the official NPI Registry.