DR. PAUL JACK DER MESROPIAN D.O.
NPI 1912141979
Internal Medicine - Nephrology in Albany, NY

Active since April 21, 2009PECOS Enrolled
113 HOLLAND AVE, ALBANY STRATTON VA - DIVISION OF NEPHROLOGY, ALBANY, NY 12208(518) 626-5000 Get Directions Write a Review

NPPES record last updated: May 26, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Paul Jack Der Mesropian D.o. NPPES

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

DR. PAUL JACK DER MESROPIAN D.O. (NPI 1912141979) is an individual nephrology provider in Albany, New York, licensed in New York (270579) and active in the NPI registry since April 2009. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912141979
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameDR. PAUL JACK DER MESROPIANCredential: D.O.
Location Address113 HOLLAND AVE, ALBANY STRATTON VA - DIVISION OF NEPHROLOGYAlbany, NY 12208-3410
Mailing Address113 Holland Ave, Albany Stratton Va - Division Of NephrologyAlbany, NY 12208-3410 · (518) 626-5000
Sole ProprietorYes
Enumeration DateApril 21, 2009
Last NPPES UpdateMay 26, 2016
NPI 1912141979 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License Licensed in NY · 270579
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
113 HOLLAND AVE, Albany, NY 12208

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Paul Jack Der Mesropian D.o. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12208 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
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.

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.

Social Worker (Clinical)
113 HOLLAND AVE
ALBANY, NY 12208
Psychiatry & Neurology (Neurology)
113 HOLLAND AVE, NEUROLOGY SERVICE (127)
ALBANY, NY 12208
Radiology (Radiation Oncology)
113 HOLLAND AVE, STRATTON VA MEDICAL CENTER
ALBANY, NY 12208
Psychologist (Clinical)
113 HOLLAND AVE
ALBANY, NY 12208
Pharmacist
113 HOLLAND AVE
ALBANY, NY 12208
Pharmacist
113 HOLLAND AVE
ALBANY, NY 12208
Nurse Practitioner (Family)
113 HOLLAND AVE
ALBANY, NY 12208
Dentist
113 HOLLAND AVE
ALBANY, NY 12208

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 Paul Der Mesropian's NPI number?

The NPI number for Paul Der Mesropian is 1912141979. It was assigned to this individual provider in the NPPES registry on April 21, 2009.

Where is Paul Der Mesropian located?

Paul Der Mesropian practices at 113 Holland Ave Albany Stratton VA - Division Of Nephrology, Albany, NY 12208. The listed phone number is (518) 626-5000.

What is Paul Der Mesropian's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Paul Der Mesropian enrolled in Medicare?

Yes. Paul Der Mesropian is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Paul Der Mesropian was last updated on May 26, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.