Organization Active NPI

Capital Region Orthopaedic Associates, PC

  • Orthopaedic Surgery Physician
  • Albany, NY
National Provider Identifier
1871533216
Registry record updated May 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
Legal business name
CAPITAL REGION ORTHOPAEDIC ASSOCIATES, PC
Practice address
1367 Washington Ave
Suite 200
Albany, NY 12206-1043
Phone
(518) 489-2666
Fax
(518) 489-5933
NPI assigned
Jun 7, 2006
Last updated
May 3, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2023

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

Authorized official

Name
Diane Akullian
Title
Business Office Managr
Phone
(518) 292-2670

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207X00000X Primary

Addresses

Primary practice location

1367 Washington Ave
Suite 200
Albany, NY 12206-1043

Mailing address

1367 Washington Ave
Suite 200
Albany, NY 12206-1043
Phone (518) 489-2666

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031110000643 NY Part B Supplier - Clinic/Group Practice 3779496393 Receives reassigned benefits from 84 practitioners
Practice locations: Schenectady, NY; Saratoga Springs, NY; Malta, NY; Clifton Park, NY; Catskill, NY; Cohoes, NY; Albany, NY
O20100930050953 NY DME Supplier - Physician - Orthopedic/Orthopedic Surgery 3779496393 Practice locations: Albany, NY

National Provider Directory

National Provider Directory

Locations

1367 Washington Ave
Ste 200
Albany, NY 12206
Phone (518) 489-2666

1444 Western Ave
Ste C
Albany, NY 12203
Phone (518) 458-8014

146 Jefferson Hts
Ste 101
Catskill, NY 12414
Phone (518) 943-0667

989 Route 146
Ste 200
Clifton Park, NY 12065
Phone (518) 383-0891

713 Troy Schenectady Rd
Ste 127
Latham, NY 12110
Phone (518) 608-8876

4 Medical Park Dr
Malta, NY 12020
Phone (518) 438-7638

4 Medical Park Dr
Ste 200
Malta, NY 12020
Phone (518) 289-2171

Practitioners & affiliated clinicians

Practitioners 101

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 101

NPI Registry JSON

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683072000000",
    "number": "1871533216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1367 WASHINGTON AVE",
            "address_2": "SUITE 200",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122061043",
            "telephone_number": "518-489-2666",
            "fax_number": "518-489-5933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1367 WASHINGTON AVE",
            "address_2": "SUITE 200",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122061043",
            "telephone_number": "518-489-2666",
            "fax_number": "518-489-5933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAPITAL REGION ORTHOPAEDIC ASSOCIATES, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-07",
        "last_updated": "2023-05-03",
        "certification_date": "2023-05-03",
        "status": "A",
        "authorized_official_last_name": "AKULLIAN",
        "authorized_official_first_name": "DIANE",
        "authorized_official_title_or_position": "BUSINESS OFFICE MANAGR",
        "authorized_official_telephone_number": "518-292-2670"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.