NPIMap

Individual provider Active NPI

Marianna Vlassiou Spanaki-Varelas, MD

  • Neurology Physician
  • Albany, NY
National Provider Identifier
1659446391
Registry record updated Apr 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
301283-01 Issued in NY
Practice address
47 New Scotland Ave # MC70
Albany, NY 12208-3412
Phone
(518) 262-5274
Fax
(518) 262-6261
NPI assigned
Nov 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 4301085068 MI
Neurology Physician 2084N0400X 301283-01 NY Primary

Addresses

Primary practice location

47 New Scotland Ave # MC70
Albany, NY 12208-3412

Mailing address

47 New Scotland Ave # MC70
Albany, NY 12208-3412
Phone (518) 262-5274

Other identifiers 4

IdentifierTypeStateIssuer
472435910MedicaidMI
130H264490OtherBLUE CROSS-BLUE CROSS
MS085068OtherCHAMPUS-CHAMPUS
MS085068OtherCOMMERCIAL-COMMERCIAL NUMBER

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
I20191107003084 NY Practitioner - Neurology 8426089871 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Albany Medical CollegeGroup PAC ID 1759293111, 1,054 clinicians

Practice addresses (Care Compare)

47 New Scotland Ave
Albany, NY 12208-3412
Phone (518) 262-5633

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

State licenses

LicenseStateTypeSpecialty
4301085068MIMDNeurology Physician
301283-01NYMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Albany Medical College CurrentSince Oct 9, 2019 Accepting new patients
Albany Medical College Neurology CurrentSince Oct 9, 2019 Accepting new patients
Albany Medical College Neurology CurrentSince Oct 9, 2019 Accepting new patients
Albany Medical College CurrentSince Apr 5, 2020 Accepting new patients
Albany Medical College Current Accepting new patients
Albany Medical Center Hospital Past Accepting new patients
Albany Medical College PastSince Apr 5, 2020 Accepting new patients

Locations

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

47 New Scotland Ave
#70
Albany, NY 12208
Phone (518) 262-5226

Interoperability endpoints

  • Direct secure messaging: mspanaki16815@direct.hfhs.org
  • Direct secure messaging: mspanakivarelas20974@albanymed.direct-ci.com

Organizations & group practices 7

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 6

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": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585699200000",
    "number": "1659446391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 NEW SCOTLAND AVE # MC70",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122083412",
            "telephone_number": "518-262-5274",
            "fax_number": "518-262-6261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 NEW SCOTLAND AVE # MC70",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122083412",
            "telephone_number": "518-262-5274",
            "fax_number": "518-262-6261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPANAKI-VARELAS",
        "first_name": "MARIANNA",
        "middle_name": "VLASSIOU",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-21",
        "last_updated": "2020-04-01",
        "certification_date": "2020-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "MI",
            "license": "4301085068",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "301283-01",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "472435910",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS-BLUE CROSS",
            "identifier": "130H264490",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS-CHAMPUS",
            "identifier": "MS085068",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERCIAL-COMMERCIAL NUMBER",
            "identifier": "MS085068",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.