NPIMap

Individual provider Active NPI

Timothy Ullmann, MD

  • Surgery Physician
  • Albany, NY
National Provider Identifier
1992123194
Registry record updated Oct 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
316923 Issued in NY
Practice address
50 New Scotland Ave # MC-193
Albany, NY 12208-3403
Phone
(518) 262-1524
NPI assigned
Apr 3, 2014
Last updated
Oct 24, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Surgery Physician 208600000X A172051 CA
Surgery Physician 208600000X 316923 NY Primary

Addresses

Primary practice location

50 New Scotland Ave # MC-193
Albany, NY 12208-3403

Mailing address

50 New Scotland Ave # MC-193
Albany, NY 12208-3403
Phone (518) 262-1524

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
I20221025000844 NY Practitioner - General Surgery 1052715828 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Rutgers New Jersey Medical School, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Albany Medical CollegeGroup PAC ID 1759293111, 1,054 clinicians

Practice addresses (Care Compare)

47 New Scotland Ave
Albany, NY 12208-3412
Phone (518) 262-5633

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.78 of 100Reported as group
Quality
77.53
Promoting interoperability
100
Improvement activities
40
Cost
76.35

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A172051CAMDSurgery Physician
316923NYMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Albany Medical College CurrentSince Oct 1, 2022 Accepting new patients
Albany Medical College Current Accepting new patients
Albany Medical College Surgery CurrentSince Oct 1, 2022 Accepting new patients
Albany Medical College CurrentSince Oct 1, 2022 Accepting new patients
Albany Medical College Surgery Current Accepting new patients
Albany Medical College Current Accepting new patients
Ny Presbyterian Hospital - Cornell Past Accepting new patients

Locations

43 New Scotland Ave
Albany, NY 12208
Phone (518) 262-5149

47 New Scotland Ave
Albany, NY 12208
Phone (518) 262-3773

47 New Scotland Ave
#61
Albany, NY 12208
Phone (518) 262-5791

50 New Scotland Ave
#193
Albany, NY 12208
Phone (518) 262-1524

377 Church St
Ste 2
Saratoga Springs, NY 12866
Phone (518) 262-7193

Interoperability endpoints

  • Direct secure messaging: tullmann19431@albanymed.direct-ci.com

Organizations & group practices 7

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 7

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": "1396483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666569600000",
    "number": "1992123194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 NEW SCOTLAND AVE # MC-193",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122083403",
            "telephone_number": "518-262-1524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 NEW SCOTLAND AVE # MC-193",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122083403",
            "telephone_number": "518-262-1524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ULLMANN",
        "first_name": "TIMOTHY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-03",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A172051",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "316923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.