Individual provider Active NPI

Heather Ann Stahura, MD

  • Cardiovascular Disease Physician
  • Albany, NY
National Provider Identifier
1396011219
Registry record updated Dec 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
273621 Issued in NY
Practice address
7 Southwoods Blvd
Albany, NY 12211
Phone
(518) 292-6000
Fax
(518) 292-6050
NPI assigned
Mar 25, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 273621 NY Primary

Addresses

Primary practice location

7 Southwoods Blvd
Albany, NY 12211

Mailing address

7 Southwoods Blvd
Capital Cardiology Associates PC
Albany, NY 12211
Phone (518) 292-6000

Other identifiers 3

IdentifierTypeStateIssuer
110142165AMedicaidMA
1029393MedicaidVT
04655978MedicaidNY

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
I20170217000641 NY Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 5799068763 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
State University of New York at Buffalo School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Care Physicians PLLCGroup PAC ID 8022904473, 361 clinicians
Capital Cardiology Associates PLLCGroup PAC ID 1254228240, 72 clinicians

Practice addresses (Care Compare)

6 Wellness Way
Latham, NY 12110-2156
Phone (518) 782-3700

7 Southwoods Blvd
Albany, NY 12211-2514
Phone (519) 292-6000

711 Troy Schenectady Rd
Latham, NY 12110-2461

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.62 of 100Reported as individual
Quality
61.31
Promoting interoperability
99
Improvement activities
40
Cost
80.01

Merit-based Incentive Payment System (MIPS)

Final score
92.35 of 100Reported as group
Quality
98.76
Improvement activities
40
Cost
76.76

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
273621NYMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Care Physicians, PLLC CurrentSince Mar 1, 2019 Accepting new patients
Burdett Orthopedics, PC PastSince Mar 1, 2010 Accepting new patients
Athletic Dynamics LLC Past Accepting new patients

Locations

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

7 Southwoods Blvd
Albany, NY 12211
Phone (518) 292-6060

7 Southwoods Blvd
Fl 4
Albany, NY 12211
Phone (518) 641-6775

7 Southwoods Blvd
Ste 4
Albany, NY 12211

711 Troy Schenectady Rd
Ste 210
Latham, NY 12110

6 Wellness Way
Ste 201
Latham, NY 12110
Phone (518) 782-3900

2200 Burdett Ave
Ste 202
Troy, NY 12180
Phone (518) 272-0122

Interoperability endpoints

  • Direct secure messaging: hstahura788439@direct.trinity-health.org
  • Direct secure messaging: hstahura19449@albanymed.direct-ci.com

Organizations & group practices 4

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 26

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 26

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1332633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544572800000",
    "number": "1396011219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 SOUTHWOODS BLVD",
            "address_2": "CAPITAL CARDIOLOGY ASSOCIATES PC",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "12211",
            "telephone_number": "518-292-6000",
            "fax_number": "518-292-6050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 SOUTHWOODS BLVD",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "12211",
            "telephone_number": "518-292-6000",
            "fax_number": "518-292-6050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAHURA",
        "first_name": "HEATHER",
        "middle_name": "ANN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-25",
        "last_updated": "2018-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "273621",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110142165A",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1029393",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04655978",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.