Active NPI
Thomas E Couch Jr., D.P.M.
- Podiatrist
- Troy, NY
National Provider Identifier
1376503763
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 002433-1
- Practice address
- 2121 6TH Ave
Troy, NY 12180-2849 - Phone
- (518) 272-0881
- Fax
- (518) 272-0965
- NPI assigned
- Mar 28, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 002433-1 | NY | Primary |
Addresses
Primary practice location
2121 6TH Ave
Troy, NY 12180-2849
Mailing address
PO Box 13694
Albany, NY 12212-3694
Phone (518) 272-0881
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00414622 | Medicaid | NY |
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: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090728000679 | NY | Practitioner - Podiatry | 4486707189 | Practice locations: Troy, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- New York College of Podiatric Medicine, 1972
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
500 Federal St
Suite 601
Troy, NY 12180-2832
Phone (518) 272-0881
Hospital & facility affiliations
- Samaritan Hospital of Troy, New York
- St Peter'S Hospital
- Albany Medical Center Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1864 |
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002423 | NY | MD | Registered Dietitian |
| 002433-1 | NY | MD | Podiatrist |
| 2423 | NY | MD | Audiologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| D. Joel Valentini | Podiatrist | Past | Accepting new patients |
| Collar City Podiatry PLLC | Podiatrist | Past | Accepting new patients |
| Troy Physical Therapy | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/17706/brand/1/csg/1/fhir/r4
- tcouchmd834503@direct.trinity-health.org
Organizations & group practices 3
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.
-
- Podiatrist
- Troy, NY
- NPI 1457362352
-
- Podiatrist
- Troy, NY
- NPI 1073691242
-
- Physical Therapist
- Troy, NY
- NPI 1861584013
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Ambulatory Surgical Clinic/Center
- Niskayana, NY
- NPI 1154973071
Hospital
-
- General Acute Care Hospital
- Albany, NY
- NPI 1376577247
-
- General Acute Care Hospital
- Albany, NY
- NPI 1811917461
-
- General Acute Care Hospital
- Troy, NY
- NPI 1043267727
-
- General Acute Care Hospital
- Albany, NY
- NPI 1497701106
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1263427200000",
"number": "1376503763",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 13694",
"city": "ALBANY",
"state": "NY",
"postal_code": "122123694",
"telephone_number": "518-272-0881",
"fax_number": "518-272-0965"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2121 6TH AVE",
"city": "TROY",
"state": "NY",
"postal_code": "121802849",
"telephone_number": "518-272-0881",
"fax_number": "518-272-0965"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COUCH",
"first_name": "THOMAS",
"middle_name": "E",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "D.P.M.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-28",
"last_updated": "2010-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "NY",
"license": "002433-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00414622",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Troy, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.