Individual provider Active NPI

Edward A Apicella, MD

  • Interventional Pain Medicine Physician
  • Albany, NY
National Provider Identifier
1528051869
Registry record updated Oct 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
191595 Issued in NY
Practice address
12 Corporate Woods Blvd
Albany, NY 12211-2524
Phone
(518) 463-0171
Fax
(518) 463-0174
NPI assigned
Aug 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2010

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 191595 NY
Interventional Pain Medicine Physician 208VP0014X 191595 NY Primary
Pain Medicine Physician 208VP0000X 191595 NY

Addresses

Primary practice location

12 Corporate Woods Blvd
Albany, NY 12211-2524

Mailing address

12 Corporate Woods Blvd
Albany, NY 12211-2524
Phone (518) 463-0171

Other identifiers 12

IdentifierTypeStateIssuer
01565035MedicaidNY
5403572OtherNYAETNA
000405461007OtherNYBSNENY
05641OtherNYMVP
10000049OtherNYCDPHP
4868OtherNYCDPHP GROUP #
EA03087930OtherNYEMPIRE/ BLUE CHOICE
110586100OtherNYDEPT OF LABOR/POSTAL WORK
141806863OtherNYUNITED HEALTH CARE
5508704OtherNYGHI PPO GROUP NUMBER
050078269OtherNYRAIL ROAD MEDICARE
5301566OtherNYGHI PPO DR. APICELLA'S #

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
I20110215000216 NY Practitioner - Interventional Pain Management 6103882352 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
191595NYMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Pain Management Services, PLLC Pain Medicine CurrentSince May 1, 2000 Accepting new patients
Dow Behavioral Health Medical PC PastSince Apr 15, 2017 Accepting new patients
Sand Creek Medical PC PastSince May 1, 2000 Accepting new patients

Locations

12 Corporate Woods Blvd
Albany, NY 12211
Phone (518) 426-1189

116 Everett Rd
Albany, NY 12205
Phone (518) 463-0171

3 Care Ln
Saratoga Springs, NY 12866
Phone (518) 226-6000

Organizations & group practices 3

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": "1124755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288224000000",
    "number": "1528051869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 CORPORATE WOODS BLVD",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122112524",
            "telephone_number": "518-463-0171",
            "fax_number": "518-463-0174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 CORPORATE WOODS BLVD",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122112524",
            "telephone_number": "518-463-0171",
            "fax_number": "518-463-0174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "APICELLA",
        "first_name": "EDWARD",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-23",
        "last_updated": "2010-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NY",
            "license": "191595",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NY",
            "license": "191595",
            "primary": true
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NY",
            "license": "191595",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01565035",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5403572",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BSNENY",
            "identifier": "000405461007",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "05641",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDPHP",
            "identifier": "10000049",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDPHP GROUP #",
            "identifier": "4868",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE/ BLUE CHOICE",
            "identifier": "EA03087930",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF LABOR/POSTAL WORK",
            "identifier": "110586100",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "141806863",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI PPO GROUP NUMBER",
            "identifier": "5508704",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "050078269",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI PPO DR. APICELLA'S #",
            "identifier": "5301566",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.