NPIMap

Organization Active NPI

Albany Medical Center Hospital

Doing business as AMCH Dept of Radiology

  • Diagnostic Radiology Physician
  • Albany, NY
National Provider Identifier
1609806520
Registry record updated Nov 1, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
ALBANY MEDICAL CENTER HOSPITAL
Doing business as
AMCH Dept of Radiology
Practice address
43 New Scotland Ave
Mail Code 113
Albany, NY 12208
Phone
(518) 262-8481
Fax
(518) 262-8146
NPI assigned
Jul 4, 2006
Last updated
Nov 1, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2016

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

Authorized official

Name
Mrs. Frances Spreer-Albert
Title
Executive VP, Chief Financial Offic
Phone
(518) 262-8795

Specialties & licenses 10

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X NU
Body Imaging Physician 2085B0100X NU
Neuroradiology Physician 2085N0700X NU
Nuclear Radiology Physician 2085N0904X NU
Pediatric Radiology Physician 2085P0229X NU
Diagnostic Radiology Physician 2085R0202X NU Primary
Therapeutic Radiology Physician 2085R0203X NU
Vascular & Interventional Radiology Physician 2085R0204X NU
Radiological Physics Physician 2085R0205X NU
Diagnostic Ultrasound Physician 2085U0001X NU

Addresses

Primary practice location

43 New Scotland Ave
Mail Code 113
Albany, NY 12208

Mailing address

618 Central Ave
Mail Code 106
Albany, NY 12206
Phone (518) 262-9702

Other identifiers 3

IdentifierTypeStateIssuer
1000120MedicaidVT
02333544MedicaidNY
01520676MedicaidNY

Other names 1

  • AMCH Dept of Radiology Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ, MD, CT, NC, MO, FL, DC, SC, GA, CA, PA12 enrollments

Enrollment records 12

Enrollment IDStateProvider typePAC IDDetails
O20040722001140 NY Part B Supplier - Clinic/Group Practice 8224018999 Receives reassigned benefits from 67 practitioners
Practice locations: Albany, NY; West Coxsackie, NY; Troy, NY; Schenectady, NY; Saugerties, NY; Guilderland, NY; Colonie, NY; Cohoes, NY…
O20160422000560 NJ Part B Supplier - Hospital Department(S) 8224018999 Receives reassigned benefits from 1 practitioner
Practice locations: Jobstown, NJ
O20170914001750 MD Part B Supplier - Clinic/Group Practice 8224018999 Receives reassigned benefits from 1 practitioner
Practice locations: Dayton, MD; Fulton, MD
O20181010001561 CT Part B Supplier - Clinic/Group Practice 8224018999 Receives reassigned benefits from 1 practitioner
Practice locations: New Haven, CT
O20190909002235 NC Part B Supplier - Clinic/Group Practice 8224018999 Receives reassigned benefits from 1 practitioner
Practice locations: Cary, NC; Durham, NC
O20210127000166 MO Part B Supplier - Clinic/Group Practice 8224018999 Receives reassigned benefits from 1 practitioner
Practice locations: Saint Louis, MO
O20210928000265 FL Part B Supplier - Clinic/Group Practice 8224018999 Receives reassigned benefits from 1 practitioner
Practice locations: North Port, FL; West Palm Beach, FL
O20221012003264 DC Part B Supplier - Clinic/Group Practice 8224018999 Receives reassigned benefits from 1 practitioner
Practice locations: Falls Church, VA
O20221206001680 SC Part B Supplier - Clinic/Group Practice 8224018999 Receives reassigned benefits from 1 practitioner
Practice locations: Piedmont, SC
O20230807001713 GA Part B Supplier - Clinic/Group Practice 8224018999 Receives reassigned benefits from 2 practitioners
Practice locations: Atlanta, GA; Columbus, GA
O20240202001728 CA Part B Supplier - Clinic/Group Practice 8224018999 Receives reassigned benefits from 2 practitioners
Practice locations: Anaheim, CA; Sunnyvale, CA
O20240524000135 PA Part B Supplier - Clinic/Group Practice 8224018999 Receives reassigned benefits from 1 practitioner
Practice locations: Philadelphia, PA

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Albany Medical Center Hospi9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

1 Clara Barton Dr
Albany, NY 12208
Phone (518) 262-5588

1365 Washington Ave
Ste 204
Albany, NY 12206
Phone (518) 264-6825

16 New Scotland Ave
#91
Albany, NY 12208
Phone (518) 262-5196

176 Washington Avenue Ext
#150
Albany, NY 12203
Phone (518) 264-2510

220 Washington Avenue Ext
Ste 1
Albany, NY 12203
Phone (518) 489-4704

43 New Scotland Ave
#113
Albany, NY 12208
Phone (518) 262-3371

43 New Scotland Ave
#114
Albany, NY 12208
Phone (516) 262-3028

43 New Scotland Ave
#152
Albany, NY 12208
Phone (518) 262-5518

43 New Scotland Ave
#34
Albany, NY 12208
Phone (518) 262-2400

99 Delaware Ave
Delmar, NY 12054
Phone (518) 262-0942

329 Glenmont Rd
Glenmont, NY 12077
Phone (518) 264-4603

Practitioners & affiliated clinicians

Practitioners 83

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 83

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477958400000",
    "number": "1609806520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "618 CENTRAL AVE",
            "address_2": "MAIL CODE 106",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "12206",
            "telephone_number": "518-262-9702",
            "fax_number": "518-262-9707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 NEW SCOTLAND AVE",
            "address_2": "MAIL CODE 113",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "12208",
            "telephone_number": "518-262-8481",
            "fax_number": "518-262-8146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALBANY MEDICAL CENTER HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2016-11-01",
        "status": "A",
        "authorized_official_last_name": "SPREER-ALBERT",
        "authorized_official_first_name": "FRANCES",
        "authorized_official_title_or_position": "EXECUTIVE VP, CHIEF FINANCIAL OFFIC",
        "authorized_official_telephone_number": "518-262-8795",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085N0904X",
            "taxonomy_group": "",
            "desc": "Radiology, Nuclear Radiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085P0229X",
            "taxonomy_group": "",
            "desc": "Radiology, Pediatric Radiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2085R0203X",
            "taxonomy_group": "",
            "desc": "Radiology, Therapeutic Radiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0205X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiological Physics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000120",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02333544",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01520676",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AMCH Dept of Radiology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Nov 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.