Individual provider Active NPI

Albert T Tripodi, MD

  • Internal Medicine Physician
  • Camillus, NY
National Provider Identifier
1871609974
Registry record updated Mar 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
177301 Issued in NY
Practice address
5417 W Genesee St
Camillus, NY 13031-2176
Phone
(315) 475-2323
NPI assigned
Aug 22, 2006
Last updated
Mar 12, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 177301 NY Primary

Addresses

Primary practice location

5417 W Genesee St
Camillus, NY 13031-2176

Mailing address

1001 W Fayette St
Suite 400
Syracuse, NY 13204-2859
Phone (315) 476-2323

Other practice location 1

1101 Erie Blvd E
Suite 201
Syracuse, NY 13210-1148
Phone (315) 476-2323

Other identifiers 1

IdentifierTypeStateIssuer
01230551MedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address atripodi@crousemed.medentdirect.com Direct Crouse Medical Practice, PLLC

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
I20040206000663 NY Practitioner - Internal MedicinePractitioner - Hospitalist 7113810664 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
Education
State University of New York at Stony Brook, School of Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Crouse Medical Practice PLLCGroup PAC ID 8426189622, 187 clinicians
Syracuse Home AssociationGroup PAC ID 2769477157, 3 clinicians

Practice addresses (Care Compare)

5417 W Genesee St
Camillus, NY 13031-2176
Phone (315) 476-2323

736 Irving Ave
Syracuse, NY 13210-1687
Phone (315) 470-7111

739 Irving Ave
Suite 500
Syracuse, NY 13210-1664
Phone (315) 470-7409

7740 Meigs Rd
Baldwinsville, NY 13027-9757
Phone (315) 638-2521

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
177301NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Crouse Health Hospital, Inc. CurrentSince Apr 28, 2002 Accepting new patients
St. Camillus Residential Health Care Facility Internal Medicine CurrentSince Jul 1, 1998 Accepting new patients
Crouse Medical Practice PLLC CurrentSince May 1, 2015 Accepting new patients
Pathology Associates of Syracuse, PC Current Accepting new patients
St. Camillus Residential Health Care Facility Current Accepting new patients
Crouse Health Hospital Inc CurrentSince Apr 28, 2002 Accepting new patients
Crouse Medical Practice, PLLC Internal Medicine CurrentSince May 1, 2015 Accepting new patients
St. Camillus Residential Health Care Facility CurrentSince Jul 1, 1998 Accepting new patients

Locations

5417 W Genesee St
Camillus, NY 13031
Phone (315) 418-4043

1001 W Fayette St
Ste 400
Syracuse, NY 13204
Phone (315) 472-1488

1101 Erie Blvd E
Ste 201
Syracuse, NY 13210
Phone (315) 476-2323

725 Irving Ave
Syracuse, NY 13210
Phone (315) 470-7111

725 Irving Ave
Ste 305
Syracuse, NY 13210
Phone (315) 470-2960

736 Irving Ave
Syracuse, NY 13210
Phone (315) 470-7111

813 Fay Rd
Syracuse, NY 13219
Phone (315) 464-5820

Organizations & group practices 10

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 6

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

NPI Registry JSON

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615507200000",
    "number": "1871609974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 W FAYETTE ST",
            "address_2": "SUITE 400",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132042859",
            "telephone_number": "315-476-2323",
            "fax_number": "315-476-2438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5417 W GENESEE ST",
            "city": "CAMILLUS",
            "state": "NY",
            "postal_code": "130312176",
            "telephone_number": "315-475-2323"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1101 Erie Blvd E",
            "address_2": "Suite 201",
            "address_purpose": "LOCATION",
            "city": "Syracuse",
            "state": "NY",
            "postal_code": "132101148",
            "country_code": "US",
            "telephone_number": "315-476-2323",
            "fax_number": "315-476-2438",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRIPODI",
        "first_name": "ALBERT",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-22",
        "last_updated": "2021-03-12",
        "certification_date": "2021-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "177301",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01230551",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "atripodi@crousemed.medentdirect.com",
            "affiliation": "Y",
            "endpointDescription": "email address in Medent",
            "affiliationName": "Crouse Medical Practice, PLLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "other",
            "address_1": "5417 W Genesee St",
            "city": "Camillus",
            "state": "NY",
            "country_code": "US",
            "postal_code": "130312176",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Camillus, NY

Sources for this page

Verify at the official NPI Registry.