Individual provider Active NPI

Anna Yermakova Allen, MD

  • Ophthalmology Physician
  • Albany, NY
National Provider Identifier
1346424397
Registry record updated Mar 12, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
245897 Issued in NY
Practice address
63 Shaker Rd
Suite 101
Albany, NY 12204-1030
Phone
(518) 434-1042
Fax
(518) 434-4327
NPI assigned
Dec 27, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 245897 NY Primary

Addresses

Primary practice location

63 Shaker Rd
Suite 101
Albany, NY 12204-1030

Mailing address

63 Shaker Rd
Suite 101
Albany, NY 12204-1030
Phone (518) 434-1042

Other identifiers 1

IdentifierTypeStateIssuer
02969280MedicaidNY

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
I20080519000459 NY Practitioner - Ophthalmology 6406925312 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
State University of New York Downstate Medical Center, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Albany Eye Associates Physicians and Surgeons PCGroup PAC ID 4688610629, 9 clinicians

Practice addresses (Care Compare)

63 Shaker Rd
Suite 101
Albany, NY 12204-1030
Phone 5184341042108

Hospital & facility affiliations

  • Albany Medical Center Hospital Hospital, Albany, NY, CCN 330013

Merit-based Incentive Payment System (MIPS)

Final score
92.79 of 100Reported as group
Quality
100
Improvement activities
40
Cost
75.95

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery131

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Albany Eye Associates Physicians & Surgeons PC Ophthalmology CurrentSince May 1, 2008 Accepting new patients

Locations

63 Shaker Rd
Ste 101
Albany, NY 12204
Phone (518) 434-1042

Interoperability endpoints

  • Direct secure messaging: drallen@albanyeyeassociates.medentdirect.com

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 5

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": "1198713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236816000000",
    "number": "1346424397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 SHAKER RD",
            "address_2": "SUITE 101",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122041030",
            "telephone_number": "518-434-1042",
            "fax_number": "518-434-4327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 SHAKER RD",
            "address_2": "SUITE 101",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122041030",
            "telephone_number": "518-434-1042",
            "fax_number": "518-434-4327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "ANNA",
        "middle_name": "YERMAKOVA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-27",
        "last_updated": "2009-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "245897",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02969280",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.