EMPIRE STATE PHYSICIAN PLLC
NPI 1427394428
Internal Medicine in Albany, NY

Active since December 19, 2012
180 WASHINGTON AVENUE EXT, ALBANY, NY 12203(518) 456-7831 Get Directions Write a Review

NPPES record last updated: December 19, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Empire State Physician Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EMPIRE STATE PHYSICIAN PLLC (NPI 1427394428) is a healthcare organization registered as an internal medicine in Albany, New York and active in the NPI registry since December 2012. The organization lists Edgar R Henriques, Owner, as its authorized official.

NPPES Registry Identity

NPI1427394428
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameEMPIRE STATE PHYSICIAN PLLC
Location Address180 WASHINGTON AVENUE EXTAlbany, NY 12203-5304
Mailing Address11 Ruso DrMenands, NY 12204-1313 · (518) 433-0205
Organization SubpartNo
Authorized OfficialEdgar R HenriquesOwner · (518) 433-0205
Enumeration DateDecember 19, 2012
✔ NPI 1427394428 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NY · 231783
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
180 WASHINGTON AVENUE EXT, Albany, NY 12203

Other Identifiers 2

Medicaid02529371NY
Medicare PINPENDINGNY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Empire State Physician Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Empire State Physician PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Internal Medicine
NPI 1508868415
40 AUTUMN DR
Slingerlands, NY 12159
(518) 482-8774
✔ PECOS✔ Accepts Medicare3.0 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Empire State Physician PLLC's NPI number?

The NPI number for Empire State Physician PLLC is 1427394428. It was assigned to this organization in the NPPES registry on December 19, 2012.

Where is Empire State Physician PLLC located?

Empire State Physician PLLC is located at 180 Washington Avenue Ext, Albany, NY 12203. The listed phone number is (518) 456-7831.

What is Empire State Physician PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Empire State Physician PLLC enrolled in Medicare?

Yes. Empire State Physician PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Empire State Physician PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Empire State Physician PLLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Empire State Physician PLLC was last updated on December 19, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.