NPIMap

Individual provider Active NPI

Thomas P Cacciola, MD

  • Obstetrics & Gynecology Physician
  • Troy, NY
National Provider Identifier
1740693514
Registry record updated Apr 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
294161 Issued in NY
Practice address
101 Jordan Rd Ste 200
Troy, NY 12180-8337
Phone
(518) 274-0476
Fax
(518) 274-0497
NPI assigned
Jun 9, 2014
Last updated
Apr 8, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 294161 NY Primary

Addresses

Primary practice location

101 Jordan Rd Ste 200
Troy, NY 12180-8337

Mailing address

711 Troy Schenectady Rd Ste 201
Latham, NY 12110-2482
Phone (518) 783-3110

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
I20200414001224 NY Practitioner - Obstetrics/Gynecology 4981034030 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Albany Medical College of Union University, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Albany Medical College Obstetrics & Gynecology CurrentSince Jul 1, 2023 Accepting new patients
Albany Medical College Obstetrics & Gynecology CurrentSince Jul 1, 2023 Accepting new patients
Albany Medical College Obstetrics & Gynecology Current Accepting new patients
Albany Medical College CurrentSince Jul 1, 2023 Accepting new patients
Albany Medical Center Hospital Past Accepting new patients
Albany Medical College Past Accepting new patients
Albany Obstetrics & Gynecology PC Obstetrics & Gynecology PastSince Jul 31, 2022 Accepting new patients

Locations

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

16 New Scotland Ave
Albany, NY 12208
Phone (518) 262-4942

250 Delaware Ave
Ste 202
Delmar, NY 12054
Phone (518) 264-0701

1783 Route 9
Ste 201
Halfmoon, NY 12065
Phone (518) 274-0476

101 Jordan Rd
Ste 200
Troy, NY 12180
Phone (518) 274-0476

Interoperability endpoints

  • Direct secure messaging: tcacciola23002@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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1402272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586304000000",
    "number": "1740693514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 TROY SCHENECTADY RD STE 201",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121102482",
            "telephone_number": "518-783-3110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 JORDAN RD STE 200",
            "city": "TROY",
            "state": "NY",
            "postal_code": "121808337",
            "telephone_number": "518-274-0476",
            "fax_number": "518-274-0497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CACCIOLA",
        "first_name": "THOMAS",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-09",
        "last_updated": "2020-04-08",
        "certification_date": "2020-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "294161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, NY

Sources for this page

Verify at the official NPI Registry.