Paul Stanley Fellenbaum, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

208750 Issued in NY

Practice address

2 Kross Keys Dr
Suite 103
Albany, NY 12205-1466

Phone

(518) 438-2751

Fax

(518) 438-2753

NPI assigned

Jul 4, 2006

Last updated

Apr 26, 2011By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

Ophthalmology

Education

University of Texas Medical School at San Antonio, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

92.89 of 100Reported as individual

Quality

100

Improvement activities

40

Cost

76.31

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Glaucoma Services PC

  • Specialist
  • Albany, NY
  • NPI 1871787085
  Medicare reassignment Authorized official
• Hudson Valley Ophthalmology PLLC

  • Ophthalmology Physician
  • Rhinebeck, NY
  • NPI 1215293048
  NPD (past)
• Hudson Valley Ophthalmology PLLC

  • Ophthalmology Physician
  • Hudson, NY
  • NPI 1255342192
  NPD (past)

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1303776000000",
    "number": "1871523662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 KROSS KEYS DR",
            "address_2": "SUITE 103",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122051466",
            "telephone_number": "518-438-2751",
            "fax_number": "518-438-2753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 KROSS KEYS DR",
            "address_2": "SUITE 103",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122051466",
            "telephone_number": "518-438-2751",
            "fax_number": "518-438-2753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELLENBAUM",
        "first_name": "PAUL",
        "middle_name": "STANLEY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2011-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "208750",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NY",
            "license": "208750",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01912289",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Robert B Feldman, M.D.
• Samuel Feldman, MD
• Briana Feldstein
• Nancy A Felix, M.D.
• Sean Christopher Fell
• Rachel Feltman, DO
• Barbara Fenton, RN
• Christina Fera, CRNA
• Frank James Fera, MD
• Iderle Ferdinand, OTR

• Ophthalmology Physician in Albany, NY
• Providers in Albany, NY by specialty
• Ophthalmology Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2011; 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.

Verify at the official NPI Registry.