Organization Active NPI

Capital Eye Care Physicians and Surgeons, PLLC

  • Ophthalmology Physician
  • Troy, NY
National Provider Identifier
1477589901
Registry record updated Jan 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
194839 Issued in NY
Legal business name
CAPITAL EYE CARE PHYSICIANS AND SURGEONS, PLLC
Practice address
2200 Burdett Ave
Suite 102
Troy, NY 12180-2451
Phone
(518) 274-0657
Fax
(518) 274-4224
NPI assigned
Jun 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2017

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

Authorized official

Name
Dr. Suresh G Kamath, M.D.NPI 1982634234
Title
MD/Owner
Phone
(518) 274-0657

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X 194839 NY Primary

Addresses

Primary practice location

2200 Burdett Ave
Suite 102
Troy, NY 12180-2451

Mailing address

2200 Burdett Ave
Suite 102
Troy, NY 12180-2451
Phone (518) 274-0657

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060330000245 NY Part B Supplier - Clinic/Group Practice 8527076744 Receives reassigned benefits from 2 practitioners
Practice locations: Delmar, NY; Troy, NY

National Provider Directory

National Provider Directory

Locations

250 Delaware Ave
Ste 203
Delmar, NY 12054
Phone (518) 439-1382

185 2nd Ave
Gloversville, NY 12078
Phone (518) 533-6550

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1484092800000",
    "number": "1477589901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 BURDETT AVE",
            "address_2": "SUITE 102",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121802451",
            "telephone_number": "518-274-0657",
            "fax_number": "518-274-4224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 BURDETT AVE",
            "address_2": "SUITE 102",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121802451",
            "telephone_number": "518-274-0657",
            "fax_number": "518-274-4224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITAL EYE CARE PHYSICIANS AND SURGEONS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-25",
        "last_updated": "2017-01-11",
        "status": "A",
        "authorized_official_last_name": "KAMATH",
        "authorized_official_first_name": "SURESH",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "518-274-0657",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "194839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.