Individual provider Active NPI

Daniel Bergeron, DO

  • Internal Medicine Physician
  • Albany, NY
National Provider Identifier
1720141864
Registry record updated May 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
256499 Issued in MA
Practice address
Albany Associates in Cardiology
2 Palisades Drive
Albany, NY 12205
Phone
(518) 458-2000
NPI assigned
Dec 19, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 256499 MA Primary

Addresses

Primary practice location

Albany Associates in Cardiology
2 Palisades Drive
Albany, NY 12205

Mailing address

PO Box 14890
Albany, NY 12212-4890
Phone (518) 525-5634

Other practice location 1

Albany Associates in Cardiology
156 Quaker Road
Queensbury, NY 12800
Phone (518) 458-2000

Other practice location 2

Albany Associates in Cardiology
2 New Hampshire Avenue Suite 200
Troy, NM 12180
Phone (518) 458-2000

Other practice location 3

Albany Associates in Cardiology
855 Route 146 Cardiology
Clifton Park, NY 12065
Phone (518) 458-2000

Other practice location 4

725 North St
Pittsfield, MA 01201-4109
Phone (413) 395-7879

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address payer.credentialing@sphp.com Direct

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201006000532 NY Practitioner - Cardiovascular Disease (Cardiology) 7719306042 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St. Peter'S Health Partners Medical Associates, P.C.Group PAC ID 6103061189, 480 clinicians

Practice addresses (Care Compare)

2 Palisades Dr
Albany, NY 12205-1438
Phone (518) 458-2000

Hospital & facility affiliations

  • St Peter'S Hospital Hospital, Albany, NY, CCN 330057
  • Samaritan Hospital of Troy, New York Hospital, Troy, NY, CCN 330180
  • Albany Medical Center Hospital Hospital, Albany, NY, CCN 330013
  • Columbia Memorial Hospital Hospital, Hudson, NY, CCN 330094

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
256499MAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Peter'S Health Partners Medical Associates, P.C. Internal Medicine CurrentSince Aug 31, 2020 Accepting new patients
St. Peter'S Health Partners Medical Associates, P.C. Internal Medicine Past Accepting new patients

Locations

2 Palisades Dr
Albany, NY 12205

855 Route 146
Clifton Park, NY 12065
Phone (518) 438-2776

156 Quaker Rd
Queensbury, NY 12804
Phone (518) 793-9063

2 New Hampshire Ave
Troy, NY 12180
Phone (518) 272-0331

2 New Hampshire Ave
Ste 200
Troy, NY 12180
Phone (518) 274-1947

Interoperability endpoints

  • Direct secure messaging: dbergeron788935@direct.trinity-health.org

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 8

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": "1166486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620345600000",
    "number": "1720141864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14890",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122124890",
            "telephone_number": "518-525-5634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ALBANY ASSOCIATES IN CARDIOLOGY",
            "address_2": "2 PALISADES DRIVE",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "12205",
            "telephone_number": "518-458-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Albany Associates in Cardiology",
            "address_2": "156 Quaker Road",
            "address_purpose": "LOCATION",
            "city": "Queensbury",
            "state": "NY",
            "postal_code": "12800",
            "country_code": "US",
            "telephone_number": "518-458-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Albany Associates in Cardiology",
            "address_2": "2 New Hampshire Avenue Suite 200",
            "address_purpose": "LOCATION",
            "city": "Troy",
            "state": "NM",
            "postal_code": "12180",
            "country_code": "US",
            "telephone_number": "518-458-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Albany Associates in Cardiology",
            "address_2": "855 Route 146 Cardiology",
            "address_purpose": "LOCATION",
            "city": "Clifton Park",
            "state": "NY",
            "postal_code": "12065",
            "country_code": "US",
            "telephone_number": "518-458-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "725 North St",
            "address_purpose": "LOCATION",
            "city": "Pittsfield",
            "state": "MA",
            "postal_code": "012014109",
            "country_code": "US",
            "telephone_number": "413-395-7879",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BERGERON",
        "first_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-19",
        "last_updated": "2021-05-07",
        "certification_date": "2021-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "256499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "payer.credentialing@sphp.com",
            "affiliation": "N",
            "endpointDescription": "SPHP- Payer Credentialing",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "Albany Associates in Cardiology",
            "address_2": "2 New Hampshire Avenue Suite 200",
            "city": "Troy",
            "state": "NM",
            "country_code": "US",
            "postal_code": "12180",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.