Individual provider Active NPI

John Battista Taggert, M.D.

  • Surgery Physician
  • Clifton Park, NY
National Provider Identifier
1457340085
Registry record updated May 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
224560-1 Issued in NY
Practice address
855 Route 146
Clifton Park, NY 12065-3885
Phone
(518) 525-8220
NPI assigned
Oct 17, 2005
Last updated
May 21, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X 224560-1 NY
Surgery Physician 208600000X 224560-1 NY Primary
Vascular Surgery Physician 2086S0129X 224560-1 NY
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 224560-1 NY

Addresses

Primary practice location

855 Route 146
Clifton Park, NY 12065-3885

Mailing address

PO Box 14890
Albany, NY 12212-4890

Other practice location 1

7 Southwoods Blvd
Albany, NY 12211-2514
Phone (518) 262-5640

Other practice location 2

391 Myrtle Ave., Suite 5
The Vascular Group, PLLC
Albany, NY 12208-3412
Phone (518) 262-5640

Other practice location 3

2 New Hampshire Ave
Troy, NY 12180-1764
Phone (518) 525-8220

Other practice location 4

319 S Manning Blvd Ste 110B
Albany, NY 12208-1744
Phone (518) 525-8220

Other practice location 5

1735 Route 9
Halfmoon, NY 12065-2421
Phone (518) 525-8220

Other identifiers 1

IdentifierTypeStateIssuer
2563055MedicaidNY

Other names 1

  • John Battista Nano III Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address payer.credentialing@sphp.com Direct

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
I20040827000344 NY Practitioner - Vascular SurgeryPractitioner - Interventional Pain ManagementPractitioner - Peripheral Vascular Disease 3072588656 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: Interventional Pain Management, Peripheral Vascular Disease
Education
University of Connecticut School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ellis HospitalGroup PAC ID 5890607410, 250 clinicians

Practice addresses (Care Compare)

1201 Nott St
Schenectady, NY 12308-2589
Phone (518) 243-4000

855 Route 146
Clifton Park, NY 12065-3885
Phone (518) 867-0303

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal22
Leg revascularization (restoring blood flow)37
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
224560-1NYMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ellis Hospital CurrentSince Dec 1, 2023 Accepting new patients
St. Peter's Hospital of the City of Albany CurrentSince Apr 11, 2020 Accepting new patients
St. Peter's Hospital of the City of Albany CurrentSince Apr 11, 2020 Accepting new patients
St. Peter's Health Partners Medical Associates, P.C. Vascular & Interventional Radiology CurrentSince Oct 1, 2018 Accepting new patients
Albany Medical College Past Accepting new patients
St. Peter's Health Partners Medical Associates, P.C. Past Accepting new patients
Albany Medical College Past Accepting new patients
Israel Schur MD PLLC Vascular & Interventional Radiology PastSince Feb 1, 2020 Accepting new patients

Locations

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

319 S Manning Blvd
Ste 110B
Albany, NY 12208
Phone (518) 525-5037

855 Route 146
Clifton Park, NY 12065
Phone (518) 438-2776

1735 Route 9
Halfmoon, NY 12065
Phone (518) 269-4690

1101 Nott St
Schenectady, NY 12308
Phone (518) 243-1916

1201 Nott St
Schenectady, NY 12308
Phone (518) 374-3123

2 New Hampshire Ave
Troy, NY 12180
Phone (518) 272-0331

Interoperability endpoints

  • Direct secure messaging: jtaggert789413@direct.trinity-health.org

Organizations & group practices 8

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1129507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621555200000",
    "number": "1457340085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14890",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122124890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 ROUTE 146",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120653885",
            "telephone_number": "518-525-8220"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7 Southwoods Blvd",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "NY",
            "postal_code": "122112514",
            "country_code": "US",
            "telephone_number": "518-262-5640",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "391 Myrtle Ave., Suite 5",
            "address_2": "The Vascular Group, PLLC",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "NY",
            "postal_code": "122083412",
            "country_code": "US",
            "telephone_number": "518-262-5640",
            "fax_number": "518-262-9413",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2 New Hampshire Ave",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "NY",
            "postal_code": "121801764",
            "country_code": "US",
            "telephone_number": "518-525-8220",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "319 S Manning Blvd Ste 110B",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "NY",
            "postal_code": "122081744",
            "country_code": "US",
            "telephone_number": "518-525-8220",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1735 Route 9",
            "address_purpose": "LOCATION",
            "city": "Halfmoon",
            "state": "NY",
            "postal_code": "120652421",
            "country_code": "US",
            "telephone_number": "518-525-8220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAGGERT",
        "first_name": "JOHN",
        "middle_name": "BATTISTA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-17",
        "last_updated": "2021-05-21",
        "certification_date": "2021-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NY",
            "license": "224560-1",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "224560-1",
            "primary": true
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NY",
            "license": "224560-1",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "NY",
            "license": "224560-1",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2563055",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "payer.credentialing@sphp.com",
            "affiliation": "N",
            "endpointDescription": "SPHP Payer Credentialing",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "319 S Manning Blvd Ste 110B",
            "city": "Albany",
            "state": "NY",
            "country_code": "US",
            "postal_code": "122081744",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JOHN",
            "last_name": "NANO III",
            "middle_name": "BATTISTA",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Clifton Park, NY

Sources for this page

Verify at the official NPI Registry.