Individual provider Active NPI

Kyle Brahim Angelicola-Richardson, MD

  • Orthopaedic Hand Surgery Physician
  • Latham, NY
National Provider Identifier
1346771631
Registry record updated Mar 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X
License
318975 Issued in NY
Practice address
1182 Troy Schenectady Rd Ste 100
Latham, NY 12110-1000
Phone
(518) 269-4690
NPI assigned
Mar 27, 2017
Last updated
Mar 2, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 318975 NY
Orthopaedic Hand Surgery Physician 207XS0106X 318975 NY Primary

Addresses

Primary practice location

1182 Troy Schenectady Rd Ste 100
Latham, NY 12110-1000

Mailing address

PO Box 14890
Albany, NY 12212-4890

Other practice location 1

1735 Route 9
Halfmoon, NY 12065-2421
Phone (518) 269-4690

Other practice location 2

79 Vandenburgh Ave
Troy, NY 12180-6024
Phone (518) 269-4690

Other practice location 3

2 Empire Dr Ste 100
Rensselaer, NY 12144-5730
Phone (518) 269-4690

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
I20230829003563 NY Practitioner - Orthopedic Surgery 1456699800 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1182 Troy Schenectady Rd
Suite 100
Latham, NY 12110-1000
Phone (518) 713-5400

2 Empire Dr
Suite 100
Rensselaer, NY 12144-5730
Phone (518) 286-4899

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
318975NYMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Samaritan Hospital of Troy, New York CurrentSince May 4, 2026 Accepting new patients
Rome Memorial Hospital, Inc. Current Accepting new patients
St. Peter's Hospital of the City of Albany CurrentSince Jun 1, 2025 Accepting new patients
St. Peter's Hospital of the City of Albany CurrentSince Jun 1, 2025 Accepting new patients
St. Peter's Health Partners Medical Associates, P.C. CurrentSince May 4, 2026 Accepting new patients

Locations

315 S Manning Blvd
Albany, NY 12208
Phone (518) 525-1852

1735 Route 9
Halfmoon, NY 12065
Phone (518) 269-4690

1182 Troy Schenectady Rd
Ste 100
Latham, NY 12110
Phone (518) 269-4690

2 Empire Dr
Ste 100
Rensselaer, NY 12144
Phone (518) 286-4899

1500 N James St
Rome, NY 13440
Phone (315) 338-7000

79 Vandenburgh Ave
Troy, NY 12180
Phone (518) 269-4690

Interoperability endpoints

  • Direct secure messaging: kangelicolarichardson4272567@direct.trinity-health.org
  • Direct secure messaging: krichardson@rmhclinics.medentdirect.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1490572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772409600000",
    "number": "1346771631",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1182 TROY SCHENECTADY RD STE 100",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121101000",
            "telephone_number": "518-269-4690"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1735 Route 9",
            "address_purpose": "LOCATION",
            "city": "Halfmoon",
            "state": "NY",
            "postal_code": "120652421",
            "country_code": "US",
            "telephone_number": "518-269-4690",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "79 Vandenburgh Ave",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "NY",
            "postal_code": "121806024",
            "country_code": "US",
            "telephone_number": "518-269-4690",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2 Empire Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Rensselaer",
            "state": "NY",
            "postal_code": "121445730",
            "country_code": "US",
            "telephone_number": "518-269-4690",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANGELICOLA-RICHARDSON",
        "first_name": "KYLE",
        "middle_name": "BRAHIM",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-27",
        "last_updated": "2026-03-02",
        "certification_date": "2026-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NY",
            "license": "318975",
            "primary": false
        },
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "NY",
            "license": "318975",
            "primary": true
        }
    ],
    "identifiers": [],
    "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": "1182 Troy Schenectady Rd Ste 100",
            "city": "Latham",
            "state": "NY",
            "country_code": "US",
            "postal_code": "121101000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Latham, NY

Sources for this page

Verify at the official NPI Registry.