Individual provider Active NPI

Dale M Webster, NP

  • Acute Care Nurse Practitioner
  • Albany, NY
National Provider Identifier
1992790372
Registry record updated Jul 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
F303721 Issued in NY
Practice address
7 Southwoods Blvd
Capital Cardiology Associates PC
Albany, NY 12211-2526
Phone
(518) 292-6000
Fax
(518) 292-6050
NPI assigned
Sep 13, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X F303721 NY Primary

Addresses

Primary practice location

7 Southwoods Blvd
Capital Cardiology Associates PC
Albany, NY 12211-2526

Mailing address

7 Southwoods Blvd
Capital Cardiology Associates PC
Albany, NY 12211-2526
Phone (518) 292-6000

Other identifiers 3

IdentifierTypeStateIssuer
02547235MedicaidNY
1029861MedicaidVT
110121104AMedicaidMA

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110127000026 NY Practitioner - Nurse Practitioner 5496934168 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Capital Cardiology Associates PLLCGroup PAC ID 1254228240, 72 clinicians

Practice addresses (Care Compare)

1785 Route 9
Suite 202
Halfmoon, NY 12065-2449
Phone (518) 292-6000

2200 Burdett Ave
Suite 202
Troy, NY 12180-2451
Phone (518) 292-6200

315 S Manning Blvd
Albany, NY 12208-1707
Phone (518) 525-1550

47 New Scotland Ave
Albany, NY 12208-3412
Phone (518) 262-3125

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
303721NYMDLicensed Practical Nurse
F303721NYMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Athletic Dynamics LLC Past Accepting new patients
Burdett Orthopedics, PC PastSince Mar 1, 2010 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: dwebster788716@direct.trinity-health.org
  • Direct secure messaging: dwebster19455@albanymed.direct-ci.com

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 and National Provider Directory roles.

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": "1126569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1500854400000",
    "number": "1992790372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 SOUTHWOODS BLVD",
            "address_2": "CAPITAL CARDIOLOGY ASSOCIATES PC",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122112526",
            "telephone_number": "518-292-6000",
            "fax_number": "518-292-6050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 SOUTHWOODS BLVD",
            "address_2": "CAPITAL CARDIOLOGY ASSOCIATES PC",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122112526",
            "telephone_number": "518-292-6000",
            "fax_number": "518-292-6050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WEBSTER",
        "first_name": "DALE",
        "middle_name": "M",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-13",
        "last_updated": "2017-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "NY",
            "license": "F303721",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02547235",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1029861",
            "state": "VT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110121104A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.