NPIMap

Individual provider Active NPI

Kevin Michael Dooley, MD

  • Family Medicine Physician
  • Albany, NY
National Provider Identifier
1417945510
Registry record updated Mar 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
220643 Issued in NY
Practice address
315 S Manning Blvd
Home Visiting Physicians
Albany, NY 12208-1707
Phone
(518) 346-3100
NPI assigned
Oct 12, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2017

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 220643 NY Primary

Addresses

Primary practice location

315 S Manning Blvd
Home Visiting Physicians
Albany, NY 12208-1707

Mailing address

211 Church St
Saratoga Springs, NY 12866-1003
Phone (518) 587-1141

Other identifiers 2

IdentifierTypeStateIssuer
080191429OtherNYRR MEDICARE
02187566MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100220000053 NY Practitioner - Family Practice 9830085901 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Maryland School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saratoga HospitalGroup PAC ID 6406740273, shared by 7 NPIs, 353 clinicians

Practice addresses (Care Compare)

211 Church St
Saratoga Springs, NY 12866-1003

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
68.51 of 100Reported as group
Quality
56.19
Improvement activities
40
Cost
75.36

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Saratoga Hospital Current Accepting new patients
Saratoga Hospital Family Medicine CurrentSince Nov 14, 2017 Accepting new patients
Saratoga Regional Medical , P.C CurrentSince May 1, 2023 Accepting new patients
Saratoga Hospital Family Medicine Current Accepting new patients
Gloversville Physician Medicine Services PC CurrentSince May 9, 2015 Accepting new patients
Saratoga Hospital Family Medicine Current Accepting new patients
Saratoga Hospital Current Accepting new patients
Saratoga Regional Medical , P.C CurrentSince May 1, 2023 Accepting new patients
Saratoga Hospital CurrentSince Feb 9, 2022 Accepting new patients
Saratoga Regional Medical , P.C Current Accepting new patients
Saratoga Hospital Past Accepting new patients

Locations

99 E State St
Gloversville, NY 12078
Phone (518) 773-5690

15 Maple Dell
Ste 1
Saratoga Springs, NY 12866
Phone (518) 583-7400

3044 Route 50
Saratoga Springs, NY 12866
Phone (518) 886-5800

211 Church St
Saratoga Springs, NY 12866
Phone (518) 583-8461

59C Myrtle St
Saratoga Springs, NY 12866
Phone (518) 587-1919

200 Broad St
Schuylerville, NY 12871
Phone (518) 695-3668

Interoperability endpoints

  • Direct secure messaging: kdooley98179@albanymed.direct-ci.com

Organizations & group practices 11

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 18

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

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1129075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489968000000",
    "number": "1417945510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 CHURCH ST",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128661003",
            "telephone_number": "518-587-1141",
            "fax_number": "518-587-1152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 S MANNING BLVD",
            "address_2": "HOME VISITING PHYSICIANS",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122081707",
            "telephone_number": "518-346-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOOLEY",
        "first_name": "KEVIN",
        "middle_name": "MICHAEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-12",
        "last_updated": "2017-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "220643",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "080191429",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02187566",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.