NPIMap

Individual provider Active NPI

Christopher Stark, MD

  • Vascular & Interventional Radiology Physician
  • Albany, NY
National Provider Identifier
1467741116
Registry record updated Mar 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
288695 Issued in NY
Practice address
43 New Scotland Ave
Department of Vascular/ Interventional Radiology
Albany, NY 12208-3412
Phone
(518) 262-5149
Fax
(518) 262-4210
NPI assigned
Apr 4, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X 288695 NY Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

43 New Scotland Ave
Department of Vascular/ Interventional Radiology
Albany, NY 12208-3412

Mailing address

711 Troy Schenectady Rd
Suite 201
Latham, NY 12110-2442
Phone (518) 782-3700

Other practice location 1

1 Atwell Rd
Cooperstown, NY 13326-1394
Phone (607) 547-3600

Other identifiers 1

IdentifierTypeStateIssuer
04776234MedicaidNY

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
I20170605001828 NY Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 4385945682 Reassigns benefits to 10 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional RadiologyAlso: Diagnostic Radiology
Education
Tulane University School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mary Imogene Bassett HospitalGroup PAC ID 3779488325, 780 clinicians
Community Care Physicians PLLCGroup PAC ID 8022904473, 361 clinicians
Albany Medical Center HospitalGroup PAC ID 8224018999, 45 clinicians

Practice addresses (Care Compare)

1 Atwell Rd
Cooperstown, NY 13326-1301
Phone (607) 547-3480

2546 Balltown Rd
Schenectady, NY 12309-1079

43 New Scotland Ave
Albany, NY 12208-3412
Phone (518) 262-5149

460 Andes Rd
Delhi, NY 13753-7407
Phone (607) 746-0300

6 Wellness Way
Latham, NY 12110-2156
Phone (518) 782-3700

711 Troy Schenectady Rd
Latham, NY 12110-2461

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
288695NYMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Albany Medical Center Hospital Vascular & Interventional Radiology CurrentSince Jul 3, 2017 Accepting new patients
Columbia Memorial Hospital CurrentSince Jul 17, 2017 Accepting new patients
Mary Imogene Bassett Hospital CurrentSince Mar 3, 2025 Accepting new patients
Albany Medical College CurrentSince Dec 3, 2017 Accepting new patients
Albany Medical College Vascular & Interventional Radiology CurrentSince Dec 3, 2017 Accepting new patients
Columbia Memorial Hospital CurrentSince Jul 17, 2017 Accepting new patients
Community Care Physicians, PLLC Vascular & Interventional Radiology CurrentSince Jul 3, 2017 Accepting new patients
Ellis Hospital CurrentSince Jan 7, 2019 Accepting new patients
Mary Imogene Bassett Hospital CurrentSince Mar 3, 2025 Accepting new patients
University Radiology Associates, LLP Vascular & Interventional Radiology CurrentSince Sep 9, 2024 Accepting new patients
Albany Medical College CurrentSince Sep 1, 2020 Accepting new patients
Community Care Physicians, PC Past Accepting new patients

Locations

43 New Scotland Ave
Albany, NY 12208
Phone (518) 262-5149

1367 Washington Ave
Albany, NY 12206
Phone (518) 438-7926

47 New Scotland Ave
Albany, NY 12208
Phone (518) 262-3773

178 Grandview Dr
Cobleskill, NY 12043
Phone (518) 254-3456

1 Atwell Rd
Cooperstown, NY 13326
Phone (607) 547-3480

460 Andes Rd
Delhi, NY 13753
Phone (607) 746-0300

71 Prospect Ave
Hudson, NY 12534
Phone (518) 262-3773

6 Wellness Way
Ste 201
Latham, NY 12110
Phone (518) 782-3900

711 Troy Schenectady Rd
Ste 201
Latham, NY 12110

711 Troy Schenectady Rd
Ste 210
Latham, NY 12110

140 Burwell St
Little Falls, NY 13365
Phone (315) 823-1000

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

224 Harrison St
Ste 601
Syracuse, NY 13202
Phone (315) 464-6672

750 E Adams St
Syracuse, NY 13210
Phone (315) 464-4363

2827 US Highway 9
Valatie, NY 12184
Phone (518) 828-7601

130 North St
Walton, NY 13856
Phone (607) 865-6541

Interoperability endpoints

  • Direct secure messaging: cstark29830@albanymed.direct-ci.com
  • Direct secure messaging: cstark159791@direct.upstate.edu

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 10

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": "1301875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742428800000",
    "number": "1467741116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 TROY SCHENECTADY RD",
            "address_2": "SUITE 201",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121102442",
            "telephone_number": "518-782-3700",
            "fax_number": "518-782-3799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 NEW SCOTLAND AVE",
            "address_2": "DEPARTMENT OF VASCULAR/ INTERVENTIONAL RADIOLOGY",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122083412",
            "telephone_number": "518-262-5149",
            "fax_number": "518-262-4210"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Atwell Rd",
            "address_purpose": "LOCATION",
            "city": "Cooperstown",
            "state": "NY",
            "postal_code": "133261394",
            "country_code": "US",
            "telephone_number": "607-547-3600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STARK",
        "first_name": "CHRISTOPHER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-04",
        "last_updated": "2025-03-20",
        "certification_date": "2025-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NY",
            "license": "288695",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04776234",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.