Individual provider Active NPI

Rohit T Repala, M.D.

  • Surgery Physician
  • Albany, NY
National Provider Identifier
1457617169
Registry record updated May 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
288218 Issued in NY
Practice address
319 S Manning Blvd Ste 304
Albany, NY 12208-1744
Phone
(518) 525-5206
Fax
(518) 525-5209
NPI assigned
Apr 6, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2018

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 288218 NY Primary

Addresses

Primary practice location

319 S Manning Blvd Ste 304
Albany, NY 12208-1744

Mailing address

PO Box 14890
Albany, NY 12212-4890
Phone (518) 525-5636

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
I20170831002447 NY Practitioner - General Surgery 3274830203 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Glens Falls Hospital IncGroup PAC ID 8325955974, 175 clinicians

Practice addresses (Care Compare)

14 Hudson Ave
Glens Falls, NY 12801-4448
Phone (518) 926-5600

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
288218NYMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Optum Medical Care, P.C. CurrentSince Sep 13, 2021 Accepting new patients
St. Peter's Health Partners Medical Associates, P.C. CurrentSince Aug 28, 2017 Accepting new patients
New York Surgicalist Services, P.C. Surgery CurrentSince Feb 15, 2022 Accepting new patients
St John's Medical Services PC CurrentSince Aug 6, 2021 Accepting new patients
Optum Medical Care, P.C. Surgery CurrentSince Sep 13, 2021 Accepting new patients
Glens Falls Hospital Inc. Surgery CurrentSince Sep 22, 2022 Accepting new patients
Glens Falls Hospital Inc CurrentSince Sep 22, 2022 Accepting new patients
Acute Care Surgery Medical Group, Inc. Surgery CurrentSince Feb 15, 2022 Accepting new patients
Empire Wound Physician Services, PLLC CurrentSince Dec 21, 2020 Accepting new patients

Locations

319 S Manning Blvd
Ste 304
Albany, NY 12208
Phone (518) 525-5206

302 Swart Hill Rd
Amsterdam, NY 12010
Phone (518) 727-6708

28 Kellogg Rd
Cortland, NY 13045
Phone (607) 753-6060

327 Beach 19th St
Far Rockaway, NY 11691
Phone (718) 689-7640

100 Park St
Glens Falls, NY 12801
Phone (518) 926-5924

79 North St
Granville, NY 12832
Phone (518) 642-0612

170 Lake St
Liberty, NY 12754
Phone (845) 292-4200

90 S Bedford Rd
Mount Kisco, NY 10549
Phone (914) 242-1050

70 Dubois St
Newburgh, NY 12550
Phone (845) 534-4673

460 Gidney Ave
Newburgh, NY 12550
Phone (845) 458-4700

30 Columbia St
Poughkeepsie, NY 12601
Phone (845) 483-5934

10538 Rockaway Beach Blvd
Rockaway Park, NY 11694
Phone (718) 318-3434

4975 Route 9
Staatsburg, NY 12580
Phone (845) 229-9177

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

Philadelphia, PA 19195

Interoperability endpoints

  • Direct secure messaging: rrepala95545@albanymed.direct-ci.com
  • FHIR API: https://api.platform.athenahealth.com/14448/brand/1/csg/1/fhir/r4

Organizations & group practices 9

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 1

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": "1333670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525824000000",
    "number": "1457617169",
    "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",
            "telephone_number": "518-525-5636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 S MANNING BLVD STE 304",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122081744",
            "telephone_number": "518-525-5206",
            "fax_number": "518-525-5209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REPALA",
        "first_name": "ROHIT",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-06",
        "last_updated": "2018-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "288218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.