NPIMap

Individual provider Active NPI

James A Listman, MD

  • Pediatric Nephrology Physician
  • Albany, NY
National Provider Identifier
1629093984
Registry record updated Oct 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nephrology PhysicianTaxonomy code 2080P0210X
License
211578 Issued in NY
Practice address
47 New Scotland Ave
MC-88, Albany Medical Center
Albany, NY 12208-3412
Phone
(518) 262-5333
Fax
(518) 262-4933
NPI assigned
Jul 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nephrology Physician 2080P0210X 211578 NY Primary

Addresses

Primary practice location

47 New Scotland Ave
MC-88, Albany Medical Center
Albany, NY 12208-3412

Mailing address

47 New Scotland Ave
MC-88, Albany Medical Center
Albany, NY 12208-3412
Phone (518) 262-5333

Other identifiers 1

IdentifierTypeStateIssuer
01864740MedicaidNY

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
I20100114000476 NY Practitioner - Pediatric MedicinePractitioner - Nephrology 0941341838 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric MedicineAlso: Nephrology
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Albany Medical CollegeGroup PAC ID 1759293111, 1,054 clinicians

Practice addresses (Care Compare)

22 New Scotland Ave
Albany, NY 12208-3795
Phone (518) 262-5723

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.78 of 100Reported as group
Quality
77.53
Promoting interoperability
100
Improvement activities
40
Cost
76.35

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Albany Medical College Pediatric Nephrology Current Accepting new patients
Albany Medical College Current Accepting new patients
Albany Medical College CurrentSince Oct 28, 2017 Accepting new patients
Albany Medical College CurrentSince Oct 28, 2017 Accepting new patients
Albany Medical College CurrentSince Jun 1, 2019 Accepting new patients
Albany Medical College Current Accepting new patients
Albany Medical College Current Accepting new patients
Albany Medical College Current Accepting new patients
Albany Medical Center Hospital Past Accepting new patients

Locations

47 New Scotland Ave
#88
Albany, NY 12208
Phone (518) 262-5120

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

23 Hackett Blvd
Albany, NY 12208
Phone (518) 262-3296

22 New Scotland Ave
Albany, NY 12208
Phone (518) 262-5333

6 Medical Park Dr
Ste 203
Malta, NY 12020
Phone (518) 264-1200

Organizations & group practices 9

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.

Hospital & facility affiliations 7

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": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319414400000",
    "number": "1629093984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 NEW SCOTLAND AVE",
            "address_2": "MC-88, ALBANY MEDICAL CENTER",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122083412",
            "telephone_number": "518-262-5333",
            "fax_number": "518-262-4933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 NEW SCOTLAND AVE",
            "address_2": "MC-88, ALBANY MEDICAL CENTER",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122083412",
            "telephone_number": "518-262-5333",
            "fax_number": "518-262-4933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LISTMAN",
        "first_name": "JAMES",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2011-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0210X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Nephrology",
            "state": "NY",
            "license": "211578",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01864740",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.