NPIMap

Individual provider Active NPI

Vincent J. Carsillo II, D.O.

  • Nephrology Physician
  • Albany, NY
National Provider Identifier
1467444208
Registry record updated Aug 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
232172-1 Issued in NY
Practice address
62 Hackett Blvd
Albany, NY 12209
Phone
(518) 434-2244
Fax
(518) 434-4659
NPI assigned
Aug 18, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 232172-1 NY Primary

Addresses

Primary practice location

62 Hackett Blvd
Albany, NY 12209

Mailing address

62 Hackett Blvd
Albany, NY 12209-1718
Phone (518) 434-2244

Other identifiers 1

IdentifierTypeStateIssuer
02551173MedicaidNY

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
I20040503001556 NY Practitioner - Internal MedicinePractitioner - Nephrology 4789672395 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Nephrology
Education
Philadelphia College of Osteopathic Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
New York Nephrology and Dialysis Access Surgery, P.C.Group PAC ID 5991793598, 18 clinicians

Practice addresses (Care Compare)

62 Hackett Blvd
Albany, NY 12209-1756
Phone (518) 434-2244

Hospital & facility affiliations

  • FMC Freedom Center of Westmere Dialysis facility, Albany, NY, CCN 332736
  • FMS-Albany Regional Kidney Center Dialysis facility, Albany, NY, CCN 332569
  • Dci - Dialysis Clinic, Inc. Dialysis facility, Albany, NY, CCN 332684
  • Albany Medical Center Hospital Hospital, Albany, NY, CCN 330013
  • St Peter'S Hospital Hospital, Albany, NY, CCN 330057
  • Ellis Hospital Hospital, Schenectady, NY, CCN 330153
  • Samaritan Hospital of Troy, New York Hospital, Troy, NY, CCN 330180
  • Columbia Memorial Hospital Hospital, Hudson, NY, CCN 330094

Merit-based Incentive Payment System (MIPS)

Final score
19.98 of 100Reported as individual
Quality
0
Promoting interoperability
0
Improvement activities
0
Cost
66.6

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
232172-1NYMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New York Nephrology and Dialysis Access Surgery, P.C. Nephrology CurrentSince Jul 1, 2004 Accepting new patients
New York Dialysis Services, Inc. PastSince Jun 19, 2018 Accepting new patients

Locations

62 Hackett Blvd
Albany, NY 12209
Phone (518) 434-2244

1785 Route 9
Ste 102
Halfmoon, NY 12065
Phone (518) 579-0017

1 West Ave
Ste 200
Saratoga Springs, NY 12866
Phone (518) 581-0112

500 State St
Ste 2B
Schenectady, NY 12305
Phone (518) 374-4207

258 Hoosick St
Ste 101
Troy, NY 12180
Phone (518) 274-5660

Interoperability endpoints

  • Direct secure messaging: vcarsillo@nenephrology.medentdirect.com
  • Direct secure messaging: vcarsillo788099@direct.trinity-health.org

Organizations & group practices 2

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 11

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": "1124323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533600000000",
    "number": "1467444208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 HACKETT BLVD",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122091718",
            "telephone_number": "518-434-2244",
            "fax_number": "518-434-4659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "62 HACKETT BLVD",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "12209",
            "telephone_number": "518-434-2244",
            "fax_number": "518-434-4659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARSILLO",
        "first_name": "VINCENT",
        "middle_name": "J.",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-18",
        "last_updated": "2018-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "232172-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02551173",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.