Individual provider Active NPI

Paul Boyd Kreienberg, MD

  • Vascular Surgery Physician
  • Albany, NY
National Provider Identifier
1780674564
Registry record updated Sep 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
195469 Issued in NY
Practice address
391 Myrtle Ave., Suite 5
The Vascular Group, PLLC
Albany, NY 12208-3412
Phone
(518) 262-5640
Fax
(518) 262-9413
NPI assigned
Oct 24, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X 195469 NY
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 195469 NY
Vascular Surgery Physician 2086S0129X 195469 NY Primary

Addresses

Primary practice location

391 Myrtle Ave., Suite 5
The Vascular Group, PLLC
Albany, NY 12208-3412

Mailing address

391 Myrtle Ave., Suite 5
The Vascular Group, PLLC
Albany, NY 12208-3797
Phone (518) 262-5640

Other identifiers 1

IdentifierTypeStateIssuer
01620864MedicaidNY

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
I20040416000889 NY Practitioner - Vascular Surgery 5395739627 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
State University of Ny Upstate Medical University, 1987
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)

117 Marys Ave
Suite 202
Kingston, NY 12401-5849
Phone (845) 338-1992

391 Myrtle Ave
Albany, NY 12208-3835
Phone (518) 262-5640

43 New Scotland Ave
Albany, NY 12208-3412
Phone (518) 262-3277

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
Leg revascularization (restoring blood flow)1-10
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Albany Medical College Current Accepting new patients
Albany Medical College Current Accepting new patients
Albany Medical College CurrentSince Jan 13, 2024 Accepting new patients
Albany Medical College CurrentSince May 1, 2019 Accepting new patients
Albany Medical College Current Accepting new patients
Albany Medical College Vascular Surgery CurrentSince Feb 17, 2020 Accepting new patients
Albany Medical College Current Accepting new patients
Israel Schur MD PLLC Vascular & Interventional Radiology PastSince Feb 1, 2020 Accepting new patients
Albany Medical Center Hospital Past Accepting new patients

Locations

47 New Scotland Ave
#157
Albany, NY 12208

47 New Scotland Ave
#61
Albany, NY 12208
Phone (518) 262-5791

391 Myrtle Ave
Albany, NY 12208
Phone (518) 262-5588

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

7 Southwoods Blvd
Albany, NY 12211
Phone (518) 292-6060

391 Myrtle Ave
Ste 5
Albany, NY 12208
Phone (518) 262-7240

71 Prospect Ave
Ste 210
Hudson, NY 12534
Phone (518) 828-2565

67 Prospect Ave
Ste 250
Hudson, NY 12534

117 Marys Ave
Ste 201
Kingston, NY 12401
Phone (845) 331-8146

365 Broadway
Kingston, NY 12401
Phone (845) 331-5165

117 Marys Ave
Ste 202
Kingston, NY 12401
Phone (845) 338-1717

1275 Broadway
#106
Menands, NY 12204
Phone (518) 262-9705

1301 River St
Ste 108
Valatie, NY 12184
Phone (518) 758-6898

Interoperability endpoints

  • Direct secure messaging: pkreienberg26267@albanymed.direct-ci.com

Organizations & group practices 9

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 7

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": "1130112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505779200000",
    "number": "1780674564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "391 MYRTLE AVE., SUITE 5",
            "address_2": "THE VASCULAR GROUP, PLLC",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122083797",
            "telephone_number": "518-262-5640",
            "fax_number": "518-262-9413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "391 MYRTLE AVE., SUITE 5",
            "address_2": "THE VASCULAR GROUP, PLLC",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122083412",
            "telephone_number": "518-262-5640",
            "fax_number": "518-262-9413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREIENBERG",
        "first_name": "PAUL",
        "middle_name": "BOYD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-24",
        "last_updated": "2017-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NY",
            "license": "195469",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "NY",
            "license": "195469",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NY",
            "license": "195469",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01620864",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.