Individual provider Active NPI

Lee Stetzer, MD

  • Family Medicine Physician
  • Albany, NY
National Provider Identifier
1871690743
Registry record updated Nov 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
241831 Issued in NY
Practice address
391 Myrtle Avenue
Suite 4a
Albany, NY 12208
Phone
(518) 207-2273
Fax
(518) 207-2293
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 241831 NY Primary

Addresses

Primary practice location

391 Myrtle Avenue
Suite 4a
Albany, NY 12208

Mailing address

711 Troy Schenectady Rd
Suite 203
Latham, NY 12110-2442
Phone (518) 782-3700

Other identifiers 1

IdentifierTypeStateIssuer
02971942MedicaidNY

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
I20080428000357 NY Practitioner - Family Practice 9739267014 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Emory University School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Care Physicians PLLCGroup PAC ID 8022904473, 361 clinicians
Upper Hudson Planned Parenthood IncGroup PAC ID 4284803743, 12 clinicians

Practice addresses (Care Compare)

391 Myrtle Ave
Suite 4a
Albany, NY 12208-3797
Phone (518) 207-2273

855 Central Ave
Albany, NY 12206-1513
Phone (518) 434-5678

Upper Hudson Planned Parenthood
3Rd FL
Albany, NY 12206-1513

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
241831NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Care Physicians, PLLC Family Medicine CurrentSince Jul 1, 2008 Accepting new patients
Upper Hudson Planned Parenthood Inc. CurrentSince Jul 1, 2014 Accepting new patients
Planned Parenthood of Central and Western New York, Inc Past Accepting new patients
Community Care Physicians, PC Past Accepting new patients
Albany Medical Center Hospital Past Accepting new patients

Locations

391 Myrtle Ave
Ste 4A
Albany, NY 12208
Phone (518) 202-2273

855 Central Ave
Ste 3
Albany, NY 12206
Phone (518) 434-5678

855 Central Ave
Albany, NY 12206
Phone (518) 434-5678

804 Columbia St
Hudson, NY 12534
Phone 5184345678 ext. 210

6 Wellness Way
Ste 201
Latham, NY 12110
Phone (518) 782-3900

711 Troy Schenectady Rd
Ste 102
Latham, NY 12110
Phone (518) 213-0227

711 Troy Schenectady Rd
Ste 210
Latham, NY 12110

711 Troy Schenectady Rd
Ste 203
Latham, NY 12110
Phone (518) 782-3742

120 Hoosick St
Ste 12
Troy, NY 12180
Phone (518) 434-5678

Interoperability endpoints

  • Direct secure messaging: lstetzer34034@albanymed.direct-ci.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: lstetzer789173@direct.trinity-health.org
  • Direct secure messaging: lee.stetzer.p6@direct.usppny.nextgenshare.com

Organizations & group practices 5

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 5

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448841600000",
    "number": "1871690743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 TROY SCHENECTADY RD",
            "address_2": "SUITE 203",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121102442",
            "telephone_number": "518-782-3700",
            "fax_number": "518-782-3799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "391 MYRTLE AVENUE",
            "address_2": "SUITE 4A",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "12208",
            "telephone_number": "518-207-2273",
            "fax_number": "518-207-2293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STETZER",
        "first_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2015-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "241831",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02971942",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.