Active NPI
Richard E Lavigne, M.D.
- Internal Medicine Physician
- Albany, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 101591
- Practice address
- 1444 Western Ave
Suite B-2
Albany, NY 12203-3458 - Phone
- (518) 458-8014
- Fax
- (518) 533-6714
- NPI assigned
- Aug 16, 2005
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 101591 | NY | Primary |
Addresses
Primary practice location
1444 Western Ave
Suite B-2
Albany, NY 12203-3458
Mailing address
1444 Western Ave
Suite B-2
Albany, NY 12203-3458
Phone (518) 458-8014
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00370714 | Medicaid | NY |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040615001382 | NY | Practitioner - Internal Medicine | 9739163999 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 101591 | NY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Peter'S Health Partners Medical Associates, P.C. | Internal Medicine | Current | Accepting new patients |
| The Endocrine Group | Past | Accepting new patients | |
| Paul E Lemanski MD PLLC | Internal Medicine | Past | Accepting new patients |
Locations
1444 Western Ave
Ste B2
Albany, NY 12203
Phone (518) 458-2611
600 Northern Blvd
Albany, NY 12204
Phone (518) 427-3331
2 Palisades Dr
Ste 200
Albany, NY 12205
2 New Hampshire Ave
Troy, NY 12180
Phone (518) 272-0331
1301 River St
Ste 204
Valatie, NY 12184
Phone (518) 392-8600
Interoperability endpoints
- rlavigne789068@direct.trinity-health.org
Organizations & group practices 3
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.
-
- Multi-Specialty Clinic/Center
- Albany, NY
- NPI 1750626834
Internal Medicine, NY
-
- Endocrinology, Diabetes & Metabolism Physician
- Albany, NY
- NPI 1962464800
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621382400000",
"number": "1770575896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1444 WESTERN AVE",
"address_2": "SUITE B-2",
"city": "ALBANY",
"state": "NY",
"postal_code": "122033458",
"telephone_number": "518-458-8014",
"fax_number": "518-533-6714"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1444 WESTERN AVE",
"address_2": "SUITE B-2",
"city": "ALBANY",
"state": "NY",
"postal_code": "122033458",
"telephone_number": "518-458-8014",
"fax_number": "518-533-6714"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAVIGNE",
"first_name": "RICHARD",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-16",
"last_updated": "2021-05-19",
"certification_date": "2021-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "101591",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00370714",
"state": "NY"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "payer.credentialing@sphp.com",
"affiliation": "N",
"endpointDescription": "SPH Payer Credentialing",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCD",
"address_1": "1444 Western Ave",
"address_2": "Suite B-2",
"city": "Albany",
"state": "NY",
"country_code": "US",
"postal_code": "122033458",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Albany, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.