Individual provider Active NPI

Vivek Dutt, M.B.B.S, M.S, D.ORTH

  • Orthopaedic Surgery Physician
  • Albany, NY
National Provider Identifier
1497164354
Registry record updated Oct 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
301009 Issued in NY
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

Updated by the provider on Oct 31, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191003001287 NY Practitioner - Orthopedic Surgery 4284965377 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
275203MAMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Capital Region Orthopaedic Associates, PC Single Specialty CurrentSince Nov 1, 2019 Accepting new patients
Albany Medical College Single Specialty CurrentSince Sep 1, 2019 Accepting new patients
Albany Medical College Single Specialty CurrentSince Sep 1, 2019 Accepting new patients
Albany Medical College Single Specialty Current Accepting new patients
Albany Medical College CurrentSince Sep 1, 2019 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.

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

Verify at the official NPI Registry.