Individual provider Active NPI

Thomas John Federici, MD

  • Ophthalmology Physician
  • Albany, NY
National Provider Identifier
1427055672
Registry record updated Nov 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
221767 Issued in NY
Practice address
223 Great Oaks Blvd
Albany, NY 12203-5969
Phone
(518) 218-1234
Fax
(518) 218-1237
NPI assigned
Jul 1, 2005
Last updated
Nov 30, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 221767 NY Primary

Addresses

Primary practice location

223 Great Oaks Blvd
Albany, NY 12203-5969

Mailing address

13 Sunset Dr
Latham, NY 12110-2103
Phone (518) 218-1234

Other identifiers 3

IdentifierTypeStateIssuer
293373MedicaidSC
1620483MedicaidLA
03053101MedicaidNY

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
I20081218000448 NY Practitioner - Ophthalmology 0547248783 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Albany Medical College of Union University, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shalom J. Kieval, MD PCGroup PAC ID 8729118534, 3 clinicians

Practice addresses (Care Compare)

13 Sunset Dr
Latham, NY 12110-2103
Phone (518) 218-1234

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Shalom Kieval MD PC Ophthalmology CurrentSince May 16, 2011 Accepting new patients
University Specialty Clinics - Ophthalmology Ophthalmology Past Accepting new patients
Gitter and Cohen L L C PastSince Oct 12, 2025 Accepting new patients
Gitter and Cohen a Medical Corporation Ophthalmology PastSince Oct 12, 2025 Accepting new patients

Locations

223 Great Oaks Blvd
Albany, NY 12203
Phone (518) 218-1234

13 Sunset Dr
Latham, NY 12110
Phone (518) 218-1234

Interoperability endpoints

  • Direct secure messaging: tfederici@retinacare.medentdirect.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.

NPI Registry JSON

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

{
    "created_epoch": "1120176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480464000000",
    "number": "1427055672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13 SUNSET DR",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121102103",
            "telephone_number": "518-218-1234",
            "fax_number": "518-218-1237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "223 GREAT OAKS BLVD",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122035969",
            "telephone_number": "518-218-1234",
            "fax_number": "518-218-1237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEDERICI",
        "first_name": "THOMAS",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-01",
        "last_updated": "2016-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "221767",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "293373",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1620483",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03053101",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.