Individual provider Active NPI

Alan Howard Angell, MD

  • Urology Physician
  • Clifton Park, NY
National Provider Identifier
1346234432
Registry record updated Aug 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
179027 Issued in NY
Practice address
855 Route 146 BLDG B
Clifton Park, NY 12065-3885
Phone
(518) 525-1789
NPI assigned
Sep 6, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 179027 NY Primary

Addresses

Primary practice location

855 Route 146 BLDG B
Clifton Park, NY 12065-3885

Mailing address

PO Box 14890
Albany, NY 12212-4890
Phone (518) 525-5634

Other practice location 1

301 Hoffman St
Arnot Medical Services, PLLC
Elmira, NY 14905-2220
Phone (607) 733-1156

Other practice location 2

4 Executive Park Dr Ste 2
Albany, NY 12203-3717
Phone (518) 489-7494

Other practice location 3

319 S Manning Blvd Ste 106
Albany, NY 12208-1743
Phone (518) 438-1019

Other practice location 4

2231 Burdett Ave Ste 160
Troy, NY 12180-2453
Phone (518) 272-1333

Other identifiers 3

IdentifierTypeStateIssuer
000003135OtherNYBCBS
01141217MedicaidNY
103052086MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address payer.credentialing@sphp.com Direct

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
I20110307000523 NY Practitioner - Urology 7416139829 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

855 Route 146
BLDG B
Clifton Park, NY 12065-3885
Phone (518) 525-1789

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
179027NYMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Peter'S Health Partners Medical Associates, P.C. CurrentSince Oct 2, 2022 Accepting new patients

Locations

319 S Manning Blvd
Ste 106
Albany, NY 12208
Phone (518) 438-0507

4 Executive Park Dr
Ste 2
Albany, NY 12203
Phone (518) 435-1231

855 Route 146
Bldg B
Clifton Park, NY 12065
Phone (518) 373-4580

2231 Burdett Ave
Ste 160
Troy, NY 12180
Phone (518) 272-1333

2 New Hampshire Ave
Troy, NY 12180
Phone (518) 272-0331

Interoperability endpoints

  • Direct secure messaging: aangell2138612@direct.trinity-health.org

Organizations & group practices 1

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 3

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": "1125964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661817600000",
    "number": "1346234432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14890",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122124890",
            "telephone_number": "518-525-5634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 ROUTE 146 BLDG B",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120653885",
            "telephone_number": "518-525-1789"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 Hoffman St",
            "address_2": "Arnot Medical Services, PLLC",
            "address_purpose": "LOCATION",
            "city": "Elmira",
            "state": "NY",
            "postal_code": "149052220",
            "country_code": "US",
            "telephone_number": "607-733-1156",
            "fax_number": "607-737-7968",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4 Executive Park Dr Ste 2",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "NY",
            "postal_code": "122033717",
            "country_code": "US",
            "telephone_number": "518-489-7494",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "319 S Manning Blvd Ste 106",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "NY",
            "postal_code": "122081743",
            "country_code": "US",
            "telephone_number": "518-438-1019",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2231 Burdett Ave Ste 160",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "NY",
            "postal_code": "121802453",
            "country_code": "US",
            "telephone_number": "518-272-1333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANGELL",
        "first_name": "ALAN",
        "middle_name": "HOWARD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-06",
        "last_updated": "2022-08-30",
        "certification_date": "2022-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NY",
            "license": "179027",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "000003135",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01141217",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103052086",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "payer.credentialing@sphp.com",
            "affiliation": "N",
            "endpointDescription": "SPHP - Payer Credentialing",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "855 Route 146 Bldg B",
            "city": "Clifton Park",
            "state": "NY",
            "country_code": "US",
            "postal_code": "120653885",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Clifton Park, NY

Sources for this page

Verify at the official NPI Registry.