Active NPI
Edward A Apicella, MD
- Interventional Pain Medicine Physician
- Albany, NY
National Provider Identifier
1528051869
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Pain Medicine Physician
- License
- 191595
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01565035 | Medicaid | NY | |
| 5403572 | Other | NY | AETNA |
| 000405461007 | Other | NY | BSNENY |
| 05641 | Other | NY | MVP |
| 10000049 | Other | NY | CDPHP |
| 4868 | Other | NY | CDPHP GROUP # |
| EA03087930 | Other | NY | EMPIRE/ BLUE CHOICE |
| 110586100 | Other | NY | DEPT OF LABOR/POSTAL WORK |
| 141806863 | Other | NY | UNITED HEALTH CARE |
| 5508704 | Other | NY | GHI PPO GROUP NUMBER |
| 050078269 | Other | NY | RAIL ROAD MEDICARE |
| 5301566 | Other | NY | GHI 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 191595 | NY | MD | Interventional Pain Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Pain Management Services, PLLC | Pain Medicine | Current | Accepting new patients |
| Dow Behavioral Health Medical PC | Past | Accepting new patients | |
| Sand Creek Medical PC | Past | 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.
-
- Pain Medicine (Anesthesiology) Physician
- Albany, NY
- NPI 1215981261
-
- Psychiatry Physician
- Albany, NY
- NPI 1366975831
-
- Specialist
- Albany, NY
- NPI 1275624900
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2010; 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.