Individual provider Active NPI

Donna Marie Pietrocola, M.D.

  • Surgery Physician
  • Albany, NY
National Provider Identifier
1407841679
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
129230 Issued in NY
Practice address
23 Hackett Blvd
Albany, NY 12208-3436
Phone
(518) 262-2592
Fax
(518) 262-2594
NPI assigned
Sep 14, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 129230 NY Primary

Addresses

Primary practice location

23 Hackett Blvd
Albany, NY 12208-3436

Mailing address

23 Hackett Blvd
Albany, NY 12208-3436
Phone (518) 262-2592

Other identifiers 1

IdentifierTypeStateIssuer
00564443MedicaidNY

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
I20050415000359 NY Practitioner - General Surgery 9234176793 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Albany Medical College Current Accepting new patients
Albany Medical College Surgery Current Accepting new patients
Albany Medical College CurrentSince Feb 25, 2005 Accepting new patients
Albany Medical College CurrentSince Feb 25, 2005 Accepting new patients
Albany Medical College Surgery CurrentSince Jun 1, 2019 Accepting new patients

Locations

50 New Scotland Ave
Albany, NY 12208
Phone (518) 262-0940

47 New Scotland Ave
Albany, NY 12208
Phone (518) 262-3773

23 Hackett Blvd
Albany, NY 12208
Phone (518) 262-3296

6 Medical Park Dr
Ste 203
Malta, NY 12020
Phone (518) 264-1200

1275 Broadway
#106
Menands, NY 12204
Phone (518) 262-9705

Interoperability endpoints

  • Direct secure messaging: dpietrocola28436@albanymed.direct-ci.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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1126656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1407841679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 HACKETT BLVD",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122083436",
            "telephone_number": "518-262-2592",
            "fax_number": "518-262-2594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 HACKETT BLVD",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122083436",
            "telephone_number": "518-262-2592",
            "fax_number": "518-262-2594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIETROCOLA",
        "first_name": "DONNA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-14",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "129230",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00564443",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.