CAPITAL DISTRICT ORAL & MAXILLOFACIAL SURGEONS,LLC
NPI 1518047166
Dentist - Oral and Maxillofacial Surgery in Albany, NY
About Capital District Oral & Maxillofacial Surgeons,llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CAPITAL DISTRICT ORAL & MAXILLOFACIAL SURGEONS,LLC (NPI 1518047166) is a healthcare organization registered as an oral and maxillofacial surgery in Albany, New York and active in the NPI registry since October 2006. The organization lists Pat Panucci, Practice Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Capital District Oral & Maxillofacial Surgeons,llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by November 30, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Capital District Oral & Maxillofacial Surgeons,llc, which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (4)
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 Capital District Oral & Maxillofacial Surgeons,llc's NPI number?
The NPI number for Capital District Oral & Maxillofacial Surgeons,llc is 1518047166. It was assigned to this organization in the NPPES registry on October 17, 2006.
Where is Capital District Oral & Maxillofacial Surgeons,llc located?
Capital District Oral & Maxillofacial Surgeons,llc is located at 7 Southwoods Blvd, Albany, NY 12211. The listed phone number is (518) 445-2505.
What is Capital District Oral & Maxillofacial Surgeons,llc's specialty?
The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.
Is Capital District Oral & Maxillofacial Surgeons,llc enrolled in Medicare?
Yes. Capital District Oral & Maxillofacial Surgeons,llc is registered in the Medicare PECOS enrollment system.
When is Capital District Oral & Maxillofacial Surgeons,llc's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (New York, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Capital District Oral & Maxillofacial Surgeons,llc?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Capital District Oral & Maxillofacial Surgeons,llc. 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. The largest specialties are Oral Surgery (3) and Maxillofacial Surgery (1). Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Capital District Oral & Maxillofacial Surgeons,llc was last updated on February 29, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Capital District Oral & Maxillofacial Surgeons,llc · NPI 1518047166
Oral and Maxillofacial Surgery organization in Albany, New York. Organization record, active in the CMS NPPES registry since October 17, 2006.
## Identity
- **NPI:** 1518047166 (Entity type: Organization)
- **Enumerated:** October 17, 2006
- **Primary specialty:** Dentist - Oral and Maxillofacial Surgery · taxonomy 1223S0112X
- **Organization subpart:** No
- **Authorized official:** Pat Panucci, PRACTICE MANAGER
## Practice location
- **Address:** 7 SOUTHWOODS BLVD, Albany, NY 12211-2526
- **Phone:** (518) 445-2505 · **Fax:** (518) 445-2508
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** November 30, 2026 (Non-DME Part B, New York, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 4 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Oral Surgery (3), Maxillofacial Surgery (1); 3 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 29, 2008
- **Other identifiers:** Medicare PIN AA1206
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Source: [NPI Profile](https://npiprofile.com/npi/1518047166) · Data from the CMS NPPES public registry.