Individual provider Active NPI

Vivian Asakoma, MD

  • Family Medicine Physician
  • Rensselaer, NY
National Provider Identifier
1366975443
Registry record updated May 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
310986 Issued in NY
Practice address
53 Columbia Street
Rensselaer, NY 12144
Phone
(518) 434-2526
Fax
(518) 434-2595
NPI assigned
Apr 6, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2026

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 310986 NY Primary

Addresses

Primary practice location

53 Columbia Street
Rensselaer, NY 12144

Mailing address

53 Columbia St
Rensselaer, NY 12144-2933
Phone (518) 434-2526

Other names 1

  • Vivian Asakoma Thompson Other name

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
I20210922003632 NY Practitioner - Family Practice 9537403761 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
New York Medical College, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

53 Columbia St
Rensselaer, NY 12144-2933
Phone (518) 434-2526

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
310986NYMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore-Lij Medical PC Family Medicine CurrentSince Aug 23, 2021 Accepting new patients
North Shore - Lij Medical PC CurrentSince Aug 23, 2021 Accepting new patients
St. Peter'S Hospital of the City of Albany Family Medicine CurrentSince Feb 24, 2025 Accepting new patients
St. Peter'S Hospital of the City of Albany Family Medicine CurrentSince Feb 24, 2025 Accepting new patients
St. Peter'S Hospitalof the City of Albany Family Medicine Past Accepting new patients

Locations

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

11 Ashford Ave
Fl 2
Dobbs Ferry, NY 10522
Phone (914) 269-1990

300 Community Dr
Plandome, NY 11030

53 Columbia St
Rensselaer, NY 12144
Phone (518) 434-2526

244 Westchester Ave
Ste 411
White Plains, NY 10604
Phone (914) 684-8100

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1491436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777593600000",
    "number": "1366975443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 COLUMBIA ST",
            "city": "RENSSELAER",
            "state": "NY",
            "postal_code": "121442933",
            "telephone_number": "518-434-2526",
            "fax_number": "518-434-2595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 COLUMBIA STREET",
            "city": "RENSSELAER",
            "state": "NY",
            "postal_code": "12144",
            "telephone_number": "518-434-2526",
            "fax_number": "518-434-2595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASAKOMA",
        "first_name": "VIVIAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-06",
        "last_updated": "2026-05-01",
        "certification_date": "2026-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "310986",
            "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": "53 Columbia Street",
            "city": "Rensselaer",
            "state": "NY",
            "country_code": "US",
            "postal_code": "12144",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "VIVIAN",
            "last_name": "THOMPSON",
            "middle_name": "ASAKOMA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Rensselaer, NY

Sources for this page

Verify at the official NPI Registry.