NPIMap

Individual provider Active NPI

Courtney M Bellomo, M.D.

  • Hematology & Oncology Physician
  • Albany, NY
National Provider Identifier
1790929529
Registry record updated Jul 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
370131 Issued in NY
Practice address
43 New Scotland Ave
MC 7
Albany, NY 12208-3412
Phone
(518) 262-6696
NPI assigned
Apr 23, 2009
Last updated
Jul 16, 2014By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 370131 NY Primary

Addresses

Primary practice location

43 New Scotland Ave
MC 7
Albany, NY 12208-3412

Mailing address

43 New Scotland Ave
MC 7
Albany, NY 12208-3412
Phone (518) 262-6696

Other identifiers 1

IdentifierTypeStateIssuer
P01307457OtherNYRAILROAD MEDICARE

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
I20130912000091 NY Practitioner - Medical OncologyPractitioner - Hematology 2365581592 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Medical OncologyAlso: Hematology
Education
Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc), 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
New York Oncology Hematology PCGroup PAC ID 3072406222, 82 clinicians

Practice addresses (Care Compare)

69 Prospect Ave
Hudson, NY 12534-2907
Phone (212) 459-8173

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
370131NYMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New York Oncology Hematology PC CurrentSince Aug 1, 2013 Accepting new patients
New York Oncology Hematology, P.C. Hematology & Oncology CurrentSince Aug 1, 2013 Accepting new patients
Venango Oncology Hematology Association, P.C. Hematology & Oncology Current Accepting new patients
Albany Medical Center Hospital Past Accepting new patients

Locations

43 New Scotland Ave
Albany, NY 12208
Phone (518) 262-5149

43 New Scotland Ave
#7
Albany, NY 12208
Phone (518) 262-6696

43 New Scotland Ave
Ste 7
Albany, NY 12208
Phone (518) 262-6696

3 Crossing Blvd
Ste 1
Halfmoon, NY 12065
Phone (518) 831-4434

69 Prospect Ave
Hudson, NY 12534
Phone (212) 459-8173

896 Riverview Rd
Rexford, NY 12148
Phone (518) 399-4600

Organizations & group practices 4

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 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": "1240444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405468800000",
    "number": "1790929529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43 NEW SCOTLAND AVE",
            "address_2": "MC 7",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122083412",
            "telephone_number": "518-262-6696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43 NEW SCOTLAND AVE",
            "address_2": "MC 7",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122083412",
            "telephone_number": "518-262-6696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELLOMO",
        "first_name": "COURTNEY",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-23",
        "last_updated": "2014-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NY",
            "license": "370131",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01307457",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.