NPIMap

Individual provider Active NPI

Michael Thomas Dirusso, D.O.

  • Nephrology Physician
  • Schenectady, NY
National Provider Identifier
1700023868
Registry record updated Jul 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
261550 Issued in NY
Practice address
1201 Nott St
Suite203
Schenectady, NY 12308-2589
Phone
(518) 374-4207
Fax
(518) 374-4371
NPI assigned
Jan 12, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 261550 NY Primary

Addresses

Primary practice location

1201 Nott St
Suite203
Schenectady, NY 12308-2589

Mailing address

62 Hackett Blvd
Albany, NY 12209-1756
Phone (518) 434-2244

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
I20110826000544 NY Practitioner - Nephrology 8729258876 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
New York College of Osteo Medicine of New York Institute of Technology, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New York Nephrology and Dialysis Access Surgery, P.C.Group PAC ID 5991793598, 18 clinicians

Practice addresses (Care Compare)

500 State St
Suite 2B
Schenectady, NY 12305-2426
Phone (518) 374-4207

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
22.02 of 100Reported as individual
Quality
0
Promoting interoperability
0
Improvement activities
0
Cost
73.41

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
New York Nephrology and Dialysis Access Surgery, P.C. Nephrology CurrentSince Jul 1, 2015 Accepting new patients
New York Dialysis Services, Inc. PastSince Sep 29, 2015 Accepting new patients

Locations

62 Hackett Blvd
Albany, NY 12209
Phone (518) 434-2244

500 State St
Ste 2B
Schenectady, NY 12305
Phone (518) 374-4207

Interoperability endpoints

  • Direct secure messaging: mdirusso@nenephrology.medentdirect.com

Organizations & group practices 2

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 28

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 28

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1231718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437004800000",
    "number": "1700023868",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "62 HACKETT BLVD",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122091756",
            "telephone_number": "518-434-2244",
            "fax_number": "518-434-4659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 NOTT ST",
            "address_2": "SUITE203",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123082589",
            "telephone_number": "518-374-4207",
            "fax_number": "518-374-4371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIRUSSO",
        "first_name": "MICHAEL",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-01-12",
        "last_updated": "2015-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "261550",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schenectady, NY

Sources for this page

Verify at the official NPI Registry.