Individual provider Active NPI

Dennis Jacob Cirilla II, D.O.

  • Anesthesiology Physician
  • Pattersonville, NY
National Provider Identifier
1588814701
Registry record updated Nov 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
252666 Issued in NY
Practice address
1346 Sterling Rd
Pattersonville, NY 12137-2513
Phone
(518) 424-2784
Fax
(518) 887-2218
NPI assigned
Sep 24, 2008
Last updated
Nov 8, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 252666 NY Primary

Addresses

Primary practice location

1346 Sterling Rd
Pattersonville, NY 12137-2513

Mailing address

1346 Sterling Rd
Pattersonville, NY 12137-2513
Phone (518) 424-2784

Other identifiers 1

IdentifierTypeStateIssuer
62359OtherNYALBANY MEDICAL CENTER

Other names 1

  • Prof. Dennis Jacob Cirilla II Professional name

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
I20090702000403 NY Practitioner - Anesthesiology 4486705464 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
New York College of Osteo Medicine of New York Institute of Technology, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St. Mary's HealthcareGroup PAC ID 7618960709, 114 clinicians

Practice addresses (Care Compare)

4988 State Hwy 30
Amsterdam, NY 12010-7520
Phone (518) 841-7341

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Knee replacement1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Albany Medical College CurrentSince Jul 1, 2009 Accepting new patients
St Marys Healthcare CurrentSince May 5, 2019 Accepting new patients
Albany Medical College Anesthesiology Current Accepting new patients
Mohawk Anesthesia Associates PC Anesthesiology CurrentSince Apr 16, 2023 Accepting new patients
St. Mary's Healthcare CurrentSince May 5, 2019 Accepting new patients
Albany Medical College Anesthesiology CurrentSince Jul 1, 2009 Accepting new patients

Locations

47 New Scotland Ave
Albany, NY 12208
Phone (518) 262-3773

380 Guy Park Ave
Amsterdam, NY 12010
Phone (518) 841-7415

425 Guy Park Ave
Amsterdam, NY 12010
Phone (518) 842-3330

427 Guy Park Ave
Amsterdam, NY 12010
Phone (518) 442-1404

4988 State Highway 30
Amsterdam, NY 12010
Phone (518) 842-3100

2210 Troy Schenectady Rd
Schenectady, NY 12309
Phone (518) 346-6400

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1222214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289174400000",
    "number": "1588814701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1346 STERLING RD",
            "city": "PATTERSONVILLE",
            "state": "NY",
            "postal_code": "121372513",
            "telephone_number": "518-424-2784",
            "fax_number": "518-887-2218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1346 STERLING RD",
            "city": "PATTERSONVILLE",
            "state": "NY",
            "postal_code": "121372513",
            "telephone_number": "518-424-2784",
            "fax_number": "518-887-2218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIRILLA",
        "first_name": "DENNIS",
        "middle_name": "JACOB",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-24",
        "last_updated": "2010-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "252666",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALBANY MEDICAL CENTER",
            "identifier": "62359",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DENNIS",
            "last_name": "CIRILLA",
            "middle_name": "JACOB",
            "prefix": "PROF.",
            "suffix": "II",
            "credential": "D.O.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Pattersonville, NY

Sources for this page

Verify at the official NPI Registry.