Individual provider Active NPI

Stephen Craig Fishel, M.D.

  • Family Medicine Physician
  • Albany, NY
National Provider Identifier
1992891378
Registry record updated Feb 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
179798 Issued in NY
Practice address
501 New Karner Rd
Albany, NY 12205-3874
Phone
(518) 393-0391
Fax
(518) 372-3281
NPI assigned
Oct 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2022

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 179798 NY Primary

Addresses

Primary practice location

501 New Karner Rd
Albany, NY 12205-3874

Mailing address

711 Troy Schenectady Rd Ste 203
Latham, NY 12110-2461
Phone (518) 782-3700

Other identifiers 1

IdentifierTypeStateIssuer
01407203MedicaidNY

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
I20050603000468 NY Practitioner - Family Practice 2769425461 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Johns Hopkins University School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Care Physicians PLLC 361 clinicians

Practice addresses (Care Compare)

501 New Karner Rd
Albany, NY 12205-3874
Phone (518) 640-3260

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
179798NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eugene K. Merecki, MD PC CurrentSince Jan 8, 2009 Accepting new patients
Community Care Physicians, PLLC Family Medicine CurrentSince Jan 10, 2022 Accepting new patients
Saratoga Family Medicine,PLLC Family Medicine CurrentSince Oct 1, 2006 Accepting new patients
Community Care Physicians, PC Past Accepting new patients

Locations

501 New Karner Rd
Colonie, NY 12205
Phone (518) 393-0391

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

711 Troy Schenectady Rd
Ste 210
Latham, NY 12110

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

6 Medical Park Dr
Ste 208
Malta, NY 12020
Phone (518) 899-2632

100 Saratoga Village Blvd
Ste 34
Malta, NY 12020
Phone (518) 899-2632

Interoperability endpoints

  • Direct secure messaging: stephenfishel@ccp.allscriptsdirect.net

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.

NPI Registry JSON

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645574400000",
    "number": "1992891378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711 TROY SCHENECTADY RD STE 203",
            "city": "LATHAM",
            "state": "NY",
            "postal_code": "121102461",
            "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": "501 NEW KARNER RD",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122053874",
            "telephone_number": "518-393-0391",
            "fax_number": "518-372-3281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FISHEL",
        "first_name": "STEPHEN",
        "middle_name": "CRAIG",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2022-02-23",
        "certification_date": "2022-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "179798",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01407203",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.