Active NPI
Vivek Dutt, M.B.B.S, M.S, D.ORTH
- Orthopaedic Surgery Physician
- Albany, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 301009
- Practice address
- 1367 Washington Ave Ste 200
Albany, NY 12206 - Phone
- (518) 489-2666
- Fax
- (518) 489-5933
- NPI assigned
- Aug 5, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Orthopaedic Surgery Physician | 207XP3100X | 301009 | NY | |
| Student in an Organized Health Care Education/Training Program | 390200000X | 275203 | MA | |
| Orthopaedic Surgery Physician | 207X00000X | 301009 | NY | Primary |
Addresses
Primary practice location
1367 Washington Ave Ste 200
Albany, NY 12206
Mailing address
1367 Washington Ave Ste 200
Albany, NY 12206-1048
Phone (518) 489-2666
Other practice location 1
300 Longwood Ave
Boston, MA 02115-5724
Phone (857) 218-4924
Other practice location 2
2450 Riverside Ave
R200
Minneapolis, MN 55454-1450
Phone (612) 229-3948
Other practice location 3
1367 Washington Ave Ste 200
Albany, NY 12206
Phone (518) 489-2666
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 275203 | MA | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Capital Region Orthopaedic Associates, PC | Single Specialty | Current | Accepting new patients |
| Albany Medical College | Single Specialty | Current | Accepting new patients |
| Albany Medical College | Single Specialty | Current | Accepting new patients |
| Albany Medical College | Single Specialty | Current | Accepting new patients |
| Albany Medical College | Current | Accepting new patients | |
| Albany Medical College | Single Specialty | Current | Accepting new patients |
| Nebraska Pediatric Practice, Inc | Single Specialty | Past | Accepting new patients |
| Children's Hospital & Medical Center | Past | Accepting new patients |
Locations
47 New Scotland Ave
Albany, NY 12208
Phone (518) 262-3773
1367 Washington Ave
Ste 200
Albany, NY 12206
Phone (518) 489-2666
47 New Scotland Ave
#61
Albany, NY 12208
Phone (518) 262-5791
1367 Washington Ave
Albany, NY 12206
Phone (518) 438-7926
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 and National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Albany, NY
- NPI 1871533216
Single Specialty
-
dba Albany Med EmUrgent Care
- Urgent Care Clinic/Center
- Albany, NY
- NPI 1386038925
-
dba Albany Medical College Department of Medicine
- Allergy & Immunology Physician
- Albany, NY
- NPI 1386689248
Single Specialty
-
dba Albany Medical College Dept of Surgery
- General Practice Physician
- Albany, NY
- NPI 1548290455
Single Specialty
-
dba Albany Medical College Dept of PM&R
- Physical Medicine & Rehabilitation Physician
- Albany, NY
- NPI 1629008537
Single Specialty
-
dba Children's Nebraska
- Children's Hospital
- Omaha, NE
- NPI 1346297843
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1572480000000",
"number": "1497164354",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1367 WASHINGTON AVE STE 200",
"city": "ALBANY",
"state": "NY",
"postal_code": "122061048",
"telephone_number": "518-489-2666",
"fax_number": "518-489-5933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1367 WASHINGTON AVE STE 200",
"city": "ALBANY",
"state": "NY",
"postal_code": "12206",
"telephone_number": "518-489-2666",
"fax_number": "518-489-5933"
}
],
"practiceLocations": [
{
"address_1": "300 Longwood Ave",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "021155724",
"country_code": "US",
"telephone_number": "857-218-4924",
"fax_number": "617-730-0465",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2450 Riverside Ave",
"address_2": "R200",
"address_purpose": "LOCATION",
"city": "Minneapolis",
"state": "MN",
"postal_code": "554541450",
"country_code": "US",
"telephone_number": "612-229-3948",
"fax_number": "651-312-3188",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1367 Washington Ave Ste 200",
"address_purpose": "LOCATION",
"city": "Albany",
"state": "NY",
"postal_code": "12206",
"country_code": "US",
"telephone_number": "518-489-2666",
"fax_number": "518-489-5933",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DUTT",
"first_name": "VIVEK",
"name_prefix": "Dr.",
"credential": "M.B.B.S, M.S, D.ORTH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-08-05",
"last_updated": "2019-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "207XP3100X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Orthopaedic Surgery, Pediatric Orthopaedic Surgery",
"state": "NY",
"license": "301009",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "MA",
"license": "275203",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "NY",
"license": "301009",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Albany, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.