Individual provider Active NPI

Edgar Roldao Henriques, M.D.

  • Internal Medicine Physician
  • Slingerlands, NY
National Provider Identifier
1508868415
Registry record updated Jun 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
231783 Issued in NY
Practice address
40 Autumn Dr
Slingerlands, NY 12159-9356
Phone
(518) 482-8774
NPI assigned
Aug 10, 2005
Sex
Male
Sole proprietor
No

Organizations & group practices 7

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 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

301 Hackett Blvd
Albany, NY 12208-1963
Phone (518) 525-7600

Hospital & facility affiliations

  • Community Hospice, Inc, the Hospice, Albany, NY, CCN 331501
  • St Peter'S Hospital Hospital, Albany, NY, CCN 330057
  • Our Lady of Mercy Life Center Nursing home, Guilderland, NY, CCN 335767
  • St Peters Nursing and Rehabilitation Center Nursing home, Albany, NY, CCN 335128
  • Eddy Heritage House Nursing and Rehabilitation Ctr Nursing home, Troy, NY, CCN 335760
  • Teresian House Nursing Home Co Inc Nursing home, Albany, NY, CCN 335627

Merit-based Incentive Payment System (MIPS)

Final score
24.91 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
83.05

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
I20040607001349 NY Practitioner - Internal Medicine 9436131919 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Empire State Physician PLLC Internal Medicine CurrentSince Oct 22, 2012 Accepting new patients
Beverwyck, Inc CurrentSince Aug 17, 2026 Accepting new patients
Villa Mary Immaculate Past Accepting new patients
Paul E Lemanski MD PLLC Internal Medicine Past Accepting new patients
Heritage House Nursing Center, Inc Past Accepting new patients
Teresian House Nursing Home Co Inc Past Accepting new patients
Our Lady of Mercy Life Center Past Accepting new patients

Locations

200 Washington Avenue Ext
Albany, NY 12203
Phone (518) 456-2000

301 Hackett Blvd
Albany, NY 12208
Phone (518) 525-1297

421 Columbia St
Cohoes, NY 12047
Phone (518) 237-5630

2 Mercycare Ln
Guilderland, NY 12084
Phone (518) 464-8100

21 Beverwyck Ln
Slingerlands, NY 12159
Phone (518) 482-8774

2920 Upper Tibbits Ave
Troy, NY 12180
Phone (518) 274-4125

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 231783 NY
Internal Medicine Physician 207R00000X 231783 NY Primary

Addresses

NPPES NPI Registry

Primary practice location

40 Autumn Dr
Slingerlands, NY 12159-9356

Mailing address

PO Box 14890
Albany, NY 12212-4890

Other practice location 1

1 Abele Blvd
Clifton Park, NY 12065-2951
Phone (518) 371-1400

Other practice location 2

2256 Burdett Ave
Troy, NY 12180-2501
Phone (518) 274-9890

Other practice location 3

2 Mercycare Ln
Guilderland, NY 12084-3505
Phone (518) 464-8100

Other practice location 4

2920 Tibbits Ave
Troy, NY 12180-7077
Phone (518) 274-4125

Other practice location 5

421 Columbia St
Cohoes, NY 12047-2217
Phone (518) 237-5630

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
02529371MedicaidNY

Electronic endpoints 1

NPPES NPI Registry
TypeEndpointUseAffiliation
Direct Messaging Address payer.credentialing@sphp.com Direct

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 24, 2026.

{
    "created_epoch": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782259200000",
    "number": "1508868415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14890",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122124890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 AUTUMN DR",
            "city": "SLINGERLANDS",
            "state": "NY",
            "postal_code": "121599356",
            "telephone_number": "518-482-8774"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Abele Blvd",
            "address_purpose": "LOCATION",
            "city": "Clifton Park",
            "state": "NY",
            "postal_code": "120652951",
            "country_code": "US",
            "telephone_number": "518-371-1400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2256 Burdett Ave",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "NY",
            "postal_code": "121802501",
            "country_code": "US",
            "telephone_number": "518-274-9890",
            "fax_number": "518-274-5407",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2 Mercycare Ln",
            "address_purpose": "LOCATION",
            "city": "Guilderland",
            "state": "NY",
            "postal_code": "120843505",
            "country_code": "US",
            "telephone_number": "518-464-8100",
            "fax_number": "518-464-8111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2920 Tibbits Ave",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "NY",
            "postal_code": "121807077",
            "country_code": "US",
            "telephone_number": "518-274-4125",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "421 Columbia St",
            "address_purpose": "LOCATION",
            "city": "Cohoes",
            "state": "NY",
            "postal_code": "120472217",
            "country_code": "US",
            "telephone_number": "518-237-5630",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENRIQUES",
        "first_name": "EDGAR",
        "middle_name": "ROLDAO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-10",
        "last_updated": "2026-06-24",
        "certification_date": "2026-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NY",
            "license": "231783",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "231783",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02529371",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "payer.credentialing@sphp.com",
            "affiliation": "N",
            "endpointDescription": "SPHP - Payer Credentialing",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "40 Autumn Dr",
            "city": "Slingerlands",
            "state": "NY",
            "country_code": "US",
            "postal_code": "121599356",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Slingerlands, NY

Sources for this page

Verify at the official NPI Registry.