Active NPI
Samuel G Alpert, MD
- Ophthalmology Physician
- Camillus, NY
National Provider Identifier
1831166545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 218960-01
- 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.
-
- Ophthalmology Physician
- Syracuse, NY
- NPI 1225072051
NY, Ophthalmology
-
- Federally Qualified Health Center (FQHC)
- Syracuse, NY
- NPI 1497796353
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Syracuse, NY
- NPI 1578554630
Hospital
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
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
- Crouse Hospital
- Cayuga Medical Center at Ithaca
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.64 of 100
- Quality
- 95.16
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 56.96
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 47 |
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 218960-01 | NY | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ophthalmology Medical Service Group Inc | Ophthalmology | Current | Accepting new patients |
| Syracuse Community Health Center, Inc. | Past | Accepting new patients | |
| Cny Ophthalmology PLLC | Ophthalmology | Past | Accepting new patients |
Interoperability endpoints
- salpert7284@direct.upstate.edu
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 218960-01 | NY | Primary |
Addresses
NPPES NPI RegistryPrimary 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| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02428206 | Medicaid | NY |
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2014; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.