NPIMap

Individual provider Active NPI

Theodore Scott Hausler, D.O.

  • Family Medicine Physician
  • Albany, NY
National Provider Identifier
1629413075
Registry record updated Apr 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
63327 Issued in NY
Practice address
47 New Scotland Ave
Dept of Family Practice
Albany, NY 12208-3412
Phone
(518) 262-3095
NPI assigned
Apr 29, 2013
Last updated
Apr 29, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 63327 NY Primary

Addresses

Primary practice location

47 New Scotland Ave
Dept of Family Practice
Albany, NY 12208-3412

Mailing address

37 Covington CT
Niskayuna, NY 12309-1323
Phone (518) 428-2835

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
I20161006000153 NY Practitioner - Family Practice 8820386998 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Center for Family PracticeGroup PAC ID 8628091972, 5 clinicians

Practice addresses (Care Compare)

8 Century Hill Dr
Suite 1
Latham, NY 12110-2193
Phone (518) 783-7173

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
63327NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Family Practice Family Medicine CurrentSince Jul 1, 2016 Accepting new patients

Locations

8 Century Hill Dr
Latham, NY 12110
Phone (518) 783-7173

8 Century Hill Dr
Ste 1
Latham, NY 12110
Phone (518) 783-7173

Interoperability endpoints

  • Direct secure messaging: drtheodorehausler@centerffp.medentdirect.com

Organizations & group practices 1

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 12

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": "1367193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367193600000",
    "number": "1629413075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 COVINGTON CT",
            "city": "NISKAYUNA",
            "state": "NY",
            "postal_code": "123091323",
            "telephone_number": "518-428-2835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 NEW SCOTLAND AVE",
            "address_2": "DEPT OF FAMILY PRACTICE",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122083412",
            "telephone_number": "518-262-3095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAUSLER",
        "first_name": "THEODORE",
        "middle_name": "SCOTT",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-29",
        "last_updated": "2013-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "63327",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.