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AXEL JUERGEN HERRMANNSDOERFER MD
NPI 1821056615
Emergency Medicine in Clifton Park, NY

Active since May 02, 2006PECOS Enrolled
1 TALLOW WOOD DR, CLIFTON PARK, NY 12065(518) 373-4444(518) 373-0663 Get Directions Write a Review

NPPES record last updated: May 27, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 27, 2021, Nov 12, 2019 (2 updates tracked since 2019).

About Axel Juergen Herrmannsdoerfer Md NPPES

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

AXEL JUERGEN HERRMANNSDOERFER MD (NPI 1821056615) is an individual emergency medicine provider in Clifton Park, New York, licensed in New York (202113) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and maintains 5 additional practice locations.

NPPES Registry Identity

NPI1821056615
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameAXEL JUERGEN HERRMANNSDOERFERCredential: MD
Location Address1 TALLOW WOOD DRClifton Park, NY 12065-2807
Mailing AddressPo Box 14890Albany, NY 12212-4890 · (518) 525-5634 · Fax (518) 649-4094
Phone(518) 373-4444
Fax(518) 373-0663
Sole ProprietorNo
Enumeration DateMay 2, 2006
Last NPPES UpdateMay 27, 20212 updates tracked since enumeration
NPPES CertifiedMay 27, 2021
✔ NPI 1821056615 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in NY · 202113
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 202113 (NY)
1 TALLOW WOOD DR, Clifton Park, NY 12065
Open in Google Maps ↗

Secondary Practice Locations 5

Location 179 Vandenburgh AveTroy, NY 12180-6024 · Phone (518) 286-3000
Location 2400 Patroon Creek BlvdAlbany, NY 12206-5013 · Phone (518) 445-4444
Location 32 Empire Dr Ste 101Rensselaer, NY 12144-5730 · Phone (518) 286-4960
Location 4377 Church StSaratoga Springs, NY 12866-8641 · Phone (518) 524-4456
Location 51300 Massachusetts AveTroy, NY 12180-1628 · Phone (518) 268-5234

Other Identifiers 1

Medicaid01666242NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Axel Juergen Herrmannsdoerfer Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Axel Herrmannsdoerfer reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

St. Peter's Health Partners Medical Associates, P.C.
10 mi
Obstetrics & Gynecology
31 LOWER HUDSON AVENUE, ST PETER'S GYNCEOLOGY
Green Island, NY 12183
  • Reassigned Medicare billing, New York enrollment
  • 742 clinicians in this Medicare group
NPI 1427394675 (518) 272-9140
Samaritan Hospital Of Troy, New York
11 mi
General Acute Care Hospital
2215 BURDETT AVE
Troy, NY 12180
  • Reassigned Medicare billing, New York enrollment
  • 725 clinicians in this Medicare group
NPI 1043267727 (518) 271-3300

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12065 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) E0465
DME-Other DME · category DE005N
1 supplier12 claims24 services$913.40 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STEVEN J BALSAMO DO
Family Medicine
1 TALLOW WOOD DR
CLIFTON PARK, NY 12065
Saratoga County (518) 373-4500
ERIN KATHRYN STUDENT NP
Nurse Practitioner (Family)
1 TALLOW WOOD DR
CLIFTON PARK, NY 12065
Saratoga County (518) 373-4444
MATTHEW CUNNINGHAM MD
Family Medicine
1 TALLOW WOOD DR
CLIFTON PARK, NY 12065
Saratoga County (518) 373-4500
WILLIAM RAYMOND FIELDING P.A.
Physician Assistant
1 TALLOW WOOD DR
CLIFTON PARK, NY 12065
Saratoga County (518) 373-4500
NEEMA R. AFEJUKU-ADELAJA M.D.
Family Medicine
1 TALLOW WOOD DR
CLIFTON PARK, NY 12065
Saratoga County (518) 373-4444
BERNICE MCLELLAN CNM
Advanced Practice Midwife
1 TALLOW WOOD DR, SUITE 2
CLIFTON PARK, NY 12065
Saratoga County (518) 373-4555
HOLLY DENISE PAYNE M.D.
Pediatrics
1 TALLOW WOOD DR
CLIFTON PARK, NY 12065
Saratoga County (518) 688-0295
SETON HEALTH SYSTEM
General Acute Care Hospital
1 TALLOW WOOD DR
CLIFTON PARK, NY 12065
Saratoga County (518) 688-0295

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 Axel Herrmannsdoerfer's NPI number?

The NPI number for Axel Herrmannsdoerfer is 1821056615. It was assigned to this individual provider in the NPPES registry on May 2, 2006.

Where is Axel Herrmannsdoerfer located?

Axel Herrmannsdoerfer practices at 1 Tallow Wood Dr, Clifton Park, NY 12065. The listed phone number is (518) 373-4444.

What is Axel Herrmannsdoerfer's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Axel Herrmannsdoerfer enrolled in Medicare?

Yes. Axel Herrmannsdoerfer is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Axel Herrmannsdoerfer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Axel Herrmannsdoerfer reassigns Medicare benefits to 2 organizations: St. Peter's Health Partners Medical Associates, P.C. (Green Island, NY) and Samaritan Hospital Of Troy, New York (Troy, NY). Each 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 Axel Herrmannsdoerfer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Axel Herrmannsdoerfer was last updated on May 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.