Individual provider Active NPI

Samuel G Alpert, MD

  • Ophthalmology Physician
  • Camillus, NY
National Provider Identifier
1831166545
Registry record updated Apr 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
218960-01 Issued in NY
Practice address
5700 W Genesee St
Suite 112
Camillus, NY 13031-3200
Phone
(315) 488-1601
Fax
(315) 488-0047
NPI assigned
Mar 1, 2006
Sex
Male
Sole proprietor
No

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.

Hospital & facility affiliations 3

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

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
State University of Ny Upstate Medical University, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ophthalmology Medical Service Group Inc 30 clinicians

Practice addresses (Care Compare)

550 Harrison St L
Syracuse, NY 13202-3188
Phone (315) 464-5230

Hospital & facility affiliations

  • University Hospital S U N Y Health Science Center Hospital, Syracuse, NY, CCN 330241
  • Crouse Hospital Hospital, Syracuse, NY, CCN 330203
  • Cayuga Medical Center at Ithaca Hospital, Ithaca, NY, CCN 330307

Merit-based Incentive Payment System (MIPS)

Final score
90.64 of 100Reported as group
Quality
95.16
Promoting interoperability
100
Improvement activities
40
Cost
56.96

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery47

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
I20040503000579 NY Practitioner - Ophthalmology 8729076401 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
218960-01NYMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ophthalmology Medical Service Group Inc Ophthalmology CurrentSince Mar 1, 2014 Accepting new patients
Syracuse Community Health Center, Inc. Past Accepting new patients
Cny Ophthalmology PLLC Ophthalmology Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: salpert7284@direct.upstate.edu

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 218960-01 NY Primary

Addresses

NPPES NPI Registry

Primary practice location

5700 W Genesee St
Suite 112
Camillus, NY 13031-3200

Mailing address

5700 W Genesee St
Suite 112
Camillus, NY 13031-3200
Phone (315) 488-1601

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
02428206MedicaidNY

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 23, 2014.

{
    "created_epoch": "1141171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398211200000",
    "number": "1831166545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5700 W GENESEE ST",
            "address_2": "SUITE 112",
            "city": "CAMILLUS",
            "state": "NY",
            "postal_code": "130313200",
            "telephone_number": "315-488-1601",
            "fax_number": "315-488-0047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 W GENESEE ST",
            "address_2": "SUITE 112",
            "city": "CAMILLUS",
            "state": "NY",
            "postal_code": "130313200",
            "telephone_number": "315-488-1601",
            "fax_number": "315-488-0047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALPERT",
        "first_name": "SAMUEL",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-01",
        "last_updated": "2014-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "218960-01",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02428206",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Camillus, NY

Sources for this page

Verify at the official NPI Registry.