Active NPI
Theresa M Viola, M.D.
- Family Medicine Physician
- Schenectady, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 184988
- Practice address
- 2125 River Rd
Suite 202
Schenectady, NY 12309-1135 - Phone
- (518) 346-9682
- Fax
- (518) 346-9693
- NPI assigned
- Jul 15, 2006
- Last updated
- Jan 17, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 184988 | NY | Primary |
Addresses
Primary practice location
2125 River Rd
Suite 202
Schenectady, NY 12309-1135
Mailing address
711 Troy Schenectady Rd Ste 203
Latham, NY 12110-2461
Phone (518) 782-3700
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 050315000118 | Other | NY | FIDELIS |
| 08224 | Other | NY | MVP |
| 01361384 | Medicaid | NY | |
| 10002114 | Other | NY | CDPHP |
| 691901 | Other | NY | EMPIRE BC |
| 47367 | Other | NY | GHI/HMO |
| 000401056001 | Other | NY | BSNENY |
| 200192 | Other | NY | SENIOR WHOLE HEALTH |
| 5783535 | Other | NY | AETNA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2125 River Rd
Suite 202
Schenectady, NY 12309-1110
Phone (518) 346-9682
Hospital & facility affiliations
- Marquis Certified Home Care, LLC
- Eddy Visiting Nurse & Rehab Association
- Ellis Hospital
- Sunnyview Hospital and Rehabilitation Center
- St Peter's Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ridge Health Services, Inc. | Current | Accepting new patients | |
| Baptist Health Nursing and Rehabilitation Center Inc | Current | Accepting new patients | |
| Community Care Physicians, PLLC | Family Medicine | Current | Accepting new patients |
| Community Care Physicians, PC | Past | Accepting new patients | |
| Community Care Physicians, PC | Past | Accepting new patients |
Locations
501 New Karner Rd
Ste 1A
Albany, NY 12205
Phone (518) 452-1337
20 Prospect St
Ste 106
Ballston Spa, NY 12020
Phone (518) 855-3755
199 Delaware Ave
Delmar, NY 12054
Phone (518) 439-1131
6 Wellness Way
Ste 201
Latham, NY 12110
Phone (518) 782-3900
711 Troy Schenectady Rd
Ste 203
Latham, NY 12110
Phone (518) 782-3742
711 Troy Schenectady Rd
Ste 210
Latham, NY 12110
2125 River Rd
Ste 202
Schenectady, NY 12309
Phone (518) 246-9683
214 State St
Schenectady, NY 12305
Phone (518) 372-1160
3732 Carman Rd
Schenectady, NY 12303
Phone (518) 356-4132
297 N Ballston Ave
Scotia, NY 12302
Phone (518) 370-4700
Interoperability endpoints
- theresaviola@ccp.allscriptsdirect.net
Organizations & group practices 5
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.
-
- Internal Medicine Physician
- Latham, NY
- NPI 1922048370
Family Medicine
-
- Developmental Disabilities Clinic/Center
- Schenectady, NY
- NPI 1285928119
-
- Skilled Nursing Facility
- Scotia, NY
- NPI 1689662157
-
dba Community Care Lab Care
- Internal Medicine Physician
- Latham, NY
- NPI 1023380714
-
dba The Office of Marino Baselice
- Internal Medicine Physician
- Delmar, NY
- NPI 1285905786
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Schenectady, NY
- NPI 1487644993
-
dba Eddy Visiting Nurse Association
- Home Health Agency
- Troy, NY
- NPI 1114967924
-
- Home Health Agency
- Albany, NY
- NPI 1316522964
-
- Home Health Agency
- Albany, NY
- NPI 1467074898
-
- General Acute Care Hospital
- Albany, NY
- NPI 1497701106
-
- General Acute Care Hospital
- Schenectady, NY
- NPI 1578664470
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1516147200000",
"number": "1659398097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "711 TROY SCHENECTADY RD STE 203",
"city": "LATHAM",
"state": "NY",
"postal_code": "121102461",
"telephone_number": "518-782-3700",
"fax_number": "518-782-3799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2125 RIVER RD",
"address_2": "SUITE 202",
"city": "SCHENECTADY",
"state": "NY",
"postal_code": "123091135",
"telephone_number": "518-346-9682",
"fax_number": "518-346-9693"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VIOLA",
"first_name": "THERESA",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-15",
"last_updated": "2018-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "184988",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIDELIS",
"identifier": "050315000118",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MVP",
"identifier": "08224",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01361384",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CDPHP",
"identifier": "10002114",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE BC",
"identifier": "691901",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI/HMO",
"identifier": "47367",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BSNENY",
"identifier": "000401056001",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SENIOR WHOLE HEALTH",
"identifier": "200192",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5783535",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Schenectady, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.