NPIMap

Individual provider Active NPI

Carlos Lucien Elguero, MD

  • Family Medicine Physician
  • Albany, NY
National Provider Identifier
1962665737
Registry record updated Nov 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
249373 Issued in NY
Practice address
391 Myrtle Avenue
Suite 4a
Albany, NY 12208
Phone
(518) 207-2273
Fax
(518) 207-2293
NPI assigned
Jul 2, 2008
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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 249373 NY Primary
Family Medicine Physician 207Q00000X 35.096829 OH

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 2

IdentifierTypeStateIssuer
02986249MedicaidNY
3153215MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080718000450 NY Practitioner - Family Practice 2668545914 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Villa Mary ImmaculateGroup PAC ID 0941279004, 3 clinicians
Community Care Physicians PLLCGroup PAC ID 8022904473, 361 clinicians

Practice addresses (Care Compare)

301 Hackett Blvd
Albany, NY 12208-1963
Phone (518) 525-7600

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

Hospital & facility affiliations

  • Vna Home Health Home health agency, Albany, NY, CCN 337019
  • Community Hospice, Inc, the Hospice, Albany, NY, CCN 331501
  • St Peter'S Hospital Hospital, Albany, NY, CCN 330057
  • Albany Medical Center Hospital Hospital, Albany, NY, CCN 330013
  • St Peters Nursing and Rehabilitation Center Nursing home, Albany, NY, CCN 335128
  • Eddy Heritage House Nursing and Rehabilitation Ctr Nursing home, Troy, NY, CCN 335760

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
249373NYMDFamily Medicine Physician
35.096829OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Care Physicians, PLLC Family Medicine CurrentSince Aug 11, 2014 Accepting new patients
Villa Mary Immaculate CurrentSince Jul 1, 2015 Accepting new patients
Community Care Physicians, PC Past Accepting new patients
St. Peter'S Hospital of the City of Albany Family Medicine Past Accepting new patients

Locations

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

301 Hackett Blvd
Albany, NY 12208
Phone (518) 525-1297

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

711 Troy Schenectady Rd
Ste 210
Latham, NY 12110

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

Interoperability endpoints

  • Direct secure messaging: celguero19459@albanymed.direct-ci.com

Organizations & group practices 4

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 11

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": "1214956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448841600000",
    "number": "1962665737",
    "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": "ELGUERO",
        "first_name": "CARLOS",
        "middle_name": "LUCIEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-02",
        "last_updated": "2015-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "249373",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35.096829",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02986249",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3153215",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.