Active NPI
Russell Wenacur, MD
- Family Medicine Physician
- Latham, NY
National Provider Identifier
1760421127
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 201560-1
- Practice address
- 6 Wellness Way Ste 201
Latham, NY 12110-2156 - Phone
- (518) 237-7363
- Fax
- (518) 237-8995
- NPI assigned
- Jun 4, 2006
- Sex
- Male
- 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 | 201560-1 | NY | Primary |
Addresses
Primary practice location
6 Wellness Way Ste 201
Latham, NY 12110-2156
Mailing address
6 Wellness Way Ste 201
Latham, NY 12110-2156
Phone (518) 782-3700
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
- State University of Ny Upstate Medical University, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
314 S Manning Blvd
Albany, NY 12208-1708
Phone (518) 437-5771
Hospital & facility affiliations
- Community Hospice, Inc, the
- Samaritan Hospital of Troy, New York
- St Peter's Hospital
- Albany Medical Center Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 201560-1 | NY | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Care Physicians, PLLC | Family Medicine | Current | Accepting new patients |
| Center for Disability Service Holding Corporation | Past | Accepting new patients | |
| Center for Disability Services | Past | Accepting new patients | |
| Community Care Physicians, PC | Past | Accepting new patients |
Locations
711 Troy Schenectady Rd
Ste 210
Latham, NY 12110
6 Wellness Way
Ste 201
Latham, NY 12110
Phone (518) 237-7363
200 Northern Dr
Troy, NY 12182
Phone (518) 237-7363
Interoperability endpoints
- russell.wenacur.p1@direct.cfdsny.nextgenshare.com
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.
-
- Multi-Specialty Clinic/Center
- Albany, NY
- NPI 1508812116
-
- Internal Medicine Physician
- Latham, NY
- NPI 1922048370
Family Medicine
-
dba St Margaret's Center
- Pediatric Skilled Nursing Facility
- Albany, NY
- NPI 1972663508
-
- Case Management Agency
- Albany, NY
- NPI 1073681557
-
dba Community Care Lab Care
- Internal Medicine Physician
- Latham, NY
- NPI 1023380714
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Ambulatory Surgical Clinic/Center
- Niskayana, NY
- NPI 1154973071
Hospital
-
- General Acute Care Hospital
- Albany, NY
- NPI 1376577247
-
dba Albany Medical Center South Clinical Campus
- General Acute Care Hospital
- Albany, NY
- NPI 1811917461
-
- General Acute Care Hospital
- Troy, NY
- NPI 1043267727
-
- General Acute Care Hospital
- Albany, NY
- NPI 1497701106
-
- Community Based Hospice Care Agency
- Albany, NY
- NPI 1588631733
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721260800000",
"number": "1760421127",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6 WELLNESS WAY STE 201",
"city": "LATHAM",
"state": "NY",
"postal_code": "121102156",
"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": "6 WELLNESS WAY STE 201",
"city": "LATHAM",
"state": "NY",
"postal_code": "121102156",
"telephone_number": "518-237-7363",
"fax_number": "518-237-8995"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WENACUR",
"first_name": "RUSSELL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-04",
"last_updated": "2024-07-18",
"certification_date": "2024-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "201560-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Latham, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2024; 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.