Active NPI
Edward J Wladis, MD
- Ophthalmic Plastic and Reconstructive Surgery Physician
- Slingerlands, NY
National Provider Identifier
1417992611
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmic Plastic and Reconstructive Surgery Physician
- License
- 247116
- Practice address
- 1220 New Scotland Rd
Suite 302
Slingerlands, NY 12159-9396 - Phone
- (518) 533-6540
- NPI assigned
- Jun 19, 2006
- Last updated
- Sep 21, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 247116 | NY | |
| Ophthalmic Plastic and Reconstructive Surgery Physician | 207WX0200X | 247116 | NY | Primary |
Addresses
Primary practice location
1220 New Scotland Rd
Suite 302
Slingerlands, NY 12159-9396
Mailing address
1220 New Scotland Rd
Suite 302
Slingerlands, NY 12159-9396
Phone (518) 533-6540
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
15 Vista Blvd
Slingerlands, NY 12159-2183
Phone (518) 533-6540
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 54 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ophthalmic Plastic Surgery,PLLC | Ophthalmology | Current | Accepting new patients |
| Albany Medical College | Current | Accepting new patients | |
| Albany Medical College | Ophthalmology | Current | Accepting new patients |
| Glaucoma Consultants of the Capital Region,PLLC | Ophthalmology | Past | Accepting new patients |
Locations
47 New Scotland Ave
Albany, NY 12208
Phone (518) 262-3773
1220 New Scotland Rd
Ste 302
Slingerlands, NY 12159
Phone (518) 533-6540
15 Vista Blvd
Slingerlands, NY 12159
Phone (518) 262-2540
Interoperability endpoints
- ewladis34077@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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Ophthalmology Physician
- Slingerlands, NY
- NPI 1235113424
-
dba Albany Med EmUrgent Care
- Urgent Care Clinic/Center
- Albany, NY
- NPI 1386038925
-
- Ophthalmology Physician
- Slingerlands, NY
- NPI 1073530952
Hospital & facility affiliations 5
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
-
dba Albany Medical Center South Clinical Campus
- General Acute Care Hospital
- Albany, NY
- NPI 1811917461
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1474416000000",
"number": "1417992611",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1220 NEW SCOTLAND RD",
"address_2": "SUITE 302",
"city": "SLINGERLANDS",
"state": "NY",
"postal_code": "121599396",
"telephone_number": "518-533-6540",
"fax_number": "518-533-6542"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1220 NEW SCOTLAND RD",
"address_2": "SUITE 302",
"city": "SLINGERLANDS",
"state": "NY",
"postal_code": "121599396",
"telephone_number": "518-533-6540"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WLADIS",
"first_name": "EDWARD",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-19",
"last_updated": "2016-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "NY",
"license": "247116",
"primary": false
},
{
"code": "207WX0200X",
"taxonomy_group": "",
"desc": "Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery",
"state": "NY",
"license": "247116",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Slingerlands, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2016; 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.