Individual provider Active NPI

Thomas Anthony Qualtere, M.D.

  • Psychiatry Physician
  • Albany, NY
National Provider Identifier
1942476916
Registry record updated Mar 25, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
160141 Issued in NY
Practice address
260 S Pearl St
Albany, NY 12202-1809
Phone
(518) 447-4555
Fax
(518) 447-4577
NPI assigned
Apr 30, 2008
Last updated
Mar 25, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 160141 NY Primary
Psychoanalyst 102L00000X 160141 NY

Addresses

Primary practice location

260 S Pearl St
Albany, NY 12202-1809

Mailing address

260 S Pearl St
Albany, NY 12202-1809
Phone (518) 447-4555

Other identifiers 2

IdentifierTypeStateIssuer
38495AOtherNYMEDICARE HEALTH NOW UPSTATE NY
00554774MedicaidNY

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
I20081218000675 NY Practitioner - Psychiatry 6406918812 Reassigns benefits to 1 organization
Practice locations: Albany, NY

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

260 S Pearl St
Albany, NY 12202-1809
Phone (518) 447-4555

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
160141NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Albany County Single Specialty CurrentSince Jan 1, 2002 Accepting new patients
Albany County CurrentSince Jan 1, 2002 Accepting new patients
The Community Hospice, Inc Single Specialty Past Accepting new patients

Locations

260 S Pearl St
Albany, NY 12202
Phone (518) 447-4550

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1209513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237939200000",
    "number": "1942476916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 S PEARL ST",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122021809",
            "telephone_number": "518-447-4555",
            "fax_number": "518-447-4577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 S PEARL ST",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122021809",
            "telephone_number": "518-447-4555",
            "fax_number": "518-447-4577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUALTERE",
        "first_name": "THOMAS",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-04-30",
        "last_updated": "2009-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "160141",
            "primary": true
        },
        {
            "code": "102L00000X",
            "taxonomy_group": "",
            "desc": "Psychoanalyst",
            "state": "NY",
            "license": "160141",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE HEALTH NOW UPSTATE NY",
            "identifier": "38495A",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00554774",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.