NPIMap

Individual provider Active NPI

Hani Midani, MD

  • Neurology Physician
  • Castleton, NY
National Provider Identifier
1619936200
Registry record updated May 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
214014-1 Issued in NY
Practice address
1528 Columbia Turnpike
Castleton, NY 12033
Phone
(518) 694-3053
Fax
(518) 694-3056
NPI assigned
Mar 21, 2006
Last updated
May 14, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 214014-1 NY Primary

Addresses

Primary practice location

1528 Columbia Turnpike
Castleton, NY 12033

Mailing address

1528 Columbia Turnpike
Castleton, NY 12033
Phone (518) 694-3053

Other practice location 1

1300 Massachusetts Ave
Troy, NY 12180-1628
Phone (518) 525-5555

Other practice location 2

63 Shaker Rd Ste 102
Albany, NY 12204-1030
Phone (518) 429-2561

Other identifiers 1

IdentifierTypeStateIssuer
01954374MedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address payer.credentialing@sphp.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060830000002 NY Practitioner - Neurology 3971549924 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

63 Albany Shaker Rd
Suite 102
Albany, NY 12204-1030
Phone (518) 429-2561

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
214014NYMDSchool Registered Nurse
214014-1NYMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Samaritan Hospital of Troy, New York CurrentSince Dec 1, 2015 Accepting new patients
St. Peter's Health Partners Medical Associates, P.C. CurrentSince Apr 11, 2016 Accepting new patients
St. Peters Health Partners Medical Associates PC Neurology Past Accepting new patients
Seton Health System Past Accepting new patients
Seton Health System Past Accepting new patients
Samaritan Hospital of Troy, New York Past Accepting new patients
Samaritan Hospital of Troy, New York Past Accepting new patients
Seton Health System Past Accepting new patients
Seton Health System Past Accepting new patients
St. Peter's Health Partners Medical Associates, P.C. Past Accepting new patients
Seton Health System Past Accepting new patients
Seton Health System Past Accepting new patients

Locations

63 Shaker Rd
Ste 102
Albany, NY 12204
Phone (518) 207-2710

1528 Columbia Tpke
Castleton on Hudson, NY 12033
Phone (518) 477-1191

711 Troy Schenectady Rd
Latham, NY 12110
Phone (518) 783-0710

2 Empire Dr
Ste 202
Rensselaer, NY 12144
Phone (518) 286-4990

1300 Massachusetts Ave
Troy, NY 12180
Phone (518) 268-5000

147 Hoosick St
Troy, NY 12180
Phone (518) 268-5749

2 New Hampshire Ave
Troy, NY 12180
Phone (518) 272-0331

2215 Burdett Ave
Troy, NY 12180
Phone (518) 271-3300

Interoperability endpoints

  • Direct secure messaging: hmidani783407@direct.trinity-health.org

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 9

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": "1142899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620950400000",
    "number": "1619936200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1528 COLUMBIA TURNPIKE",
            "city": "CASTLETON",
            "state": "NY",
            "postal_code": "12033",
            "telephone_number": "518-694-3053",
            "fax_number": "518-694-3056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1528 COLUMBIA TURNPIKE",
            "city": "CASTLETON",
            "state": "NY",
            "postal_code": "12033",
            "telephone_number": "518-694-3053",
            "fax_number": "518-694-3056"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1300 Massachusetts Ave",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "NY",
            "postal_code": "121801628",
            "country_code": "US",
            "telephone_number": "518-525-5555",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "63 Shaker Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "NY",
            "postal_code": "122041030",
            "country_code": "US",
            "telephone_number": "518-429-2561",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIDANI",
        "first_name": "HANI",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-21",
        "last_updated": "2021-05-14",
        "certification_date": "2021-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "214014-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01954374",
            "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": "63 Shaker Rd Ste 102",
            "city": "Albany",
            "state": "NY",
            "country_code": "US",
            "postal_code": "122041030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Castleton, NY

Sources for this page

Verify at the official NPI Registry.