NPIMap

Individual provider Active NPI

Thomas A Quaresima, M.D.

  • Diagnostic Radiology Physician
  • Queensbury, NY
National Provider Identifier
1821083577
Registry record updated Jun 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
149130 Issued in NY
Practice address
170 Carey Rd
Queensbury, NY 12804-7830
Phone
(518) 793-1000
Fax
(518) 793-1976
NPI assigned
Sep 19, 2005
Last updated
Jun 8, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 149130 NY Primary

Addresses

Primary practice location

170 Carey Rd
Queensbury, NY 12804-7830

Mailing address

PO Box 985
Glens Falls, NY 12801-0985
Phone (518) 793-1000

Other identifiers 1

IdentifierTypeStateIssuer
00712776MedicaidNY

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
I20100923000002 NY Practitioner - Diagnostic Radiology 0446340517 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
State University of New York Downstate Medical Center, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adirondack Radiology Associates PCGroup PAC ID 6709866619, 18 clinicians

Practice addresses (Care Compare)

100 Park St
Glens Falls, NY 12801-4413
Phone (518) 926-1000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.22 of 100Reported as group
Quality
66.8
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
149130NYMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adirondack Radiology Associates, P.C. Diagnostic Radiology CurrentSince Jul 1, 1966 Accepting new patients
Adirondack Radiology Associates, PC Diagnostic Radiology Past Accepting new patients

Locations

1365 Washington Ave
Ste 103
Albany, NY 12206
Phone (518) 465-6501

100 Park St
Glens Falls, NY 12801
Phone (518) 926-5924

11 Murray St
Glens Falls, NY 12801
Phone (518) 793-1000

170 Carey Rd
Queensbury, NY 12804
Phone (518) 793-1000

3 Care Ln
Ste 100
Saratoga Springs, NY 12866
Phone (518) 587-7773

Interoperability endpoints

  • Direct secure messaging: tquaresima101000@albanymed.direct-ci.com

Organizations & group practices 2

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 24

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 24

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1127088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654646400000",
    "number": "1821083577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 985",
            "city": "GLENS FALLS",
            "state": "NY",
            "postal_code": "128010985",
            "telephone_number": "518-793-1000",
            "fax_number": "518-793-3125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 CAREY RD",
            "city": "QUEENSBURY",
            "state": "NY",
            "postal_code": "128047830",
            "telephone_number": "518-793-1000",
            "fax_number": "518-793-1976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUARESIMA",
        "first_name": "THOMAS",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-19",
        "last_updated": "2022-06-08",
        "certification_date": "2022-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "149130",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00712776",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Queensbury, NY

Sources for this page

Verify at the official NPI Registry.