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CAPITAL REGION RETINA, PLLC
NPI 1982888988
Specialist in Albany, NY

Active since December 27, 2007CLIA 33D2023933 · Waiver
1365 WASHINGTON AVE, SUITE 101, ALBANY, NY 12206(518) 437-1111(518) 435-1114 Get Directions Write a Review

NPPES record last updated: December 27, 2007. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Capital Region Retina, Pllc NPPES

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

CAPITAL REGION RETINA, PLLC (NPI 1982888988) is a healthcare organization registered as a specialist in Albany, New York and active in the NPI registry since December 2007. The organization holds a CLIA Waiver certificate valid through May 4, 2027 and lists Jeffrey H Atern, Owner, as its authorized official.

NPPES Registry Identity

NPI1982888988
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameCAPITAL REGION RETINA, PLLC
Location Address1365 WASHINGTON AVE, SUITE 101Albany, NY 12206-1068
Mailing Address1365 Washington Ave, Suite 101Albany, NY 12206-1068 · (518) 437-1111 · Fax (518) 435-1114
Phone(518) 437-1111
Fax(518) 435-1114
Organization SubpartNo
Authorized OfficialJeffrey H AternOwner · (518) 437-1111
Enumeration DateDecember 27, 2007
✔ NPI 1982888988 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NY · 184437
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1365 WASHINGTON AVE, Albany, NY 12206
Open in Google Maps ↗

Other Identifiers 1

Medicaid01482508NY

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)

Capital Region Retina, Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Capital Region Retina, PLLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (4)

Michael Radosevich, M.D., P.H.D.
Ophthalmology
NPI 1932136827
1365 WASHINGTON AVE. SUITE 101
Albany, NY 12206
(518) 437-1111
✔ PECOS✔ Accepts MedicareSame address
Jeffrey Stern, MD
Ophthalmology
NPI 1487685228
1365 WASHINGTON AVE SUITE 101
Albany, NY 12206
(518) 437-1111
✔ PECOS✔ Accepts MedicareSame address
Hao Wang, MD
Ophthalmology
NPI 1770786287
1365 WASHINGTON AVE SUITE 101
Albany, NY 12206
(518) 437-1111
✔ PECOS✔ Accepts MedicareSame address
George Jiao, MD
Ophthalmology
NPI 1962026286
3601 W 76TH ST STE 300
Edina, MN 55435
(952) 929-1131
✔ PECOS✔ Accepts Medicare985 mi

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 33D2023933

Capital Region Retina, PLLC · Albany, NY
Active · expires May 4, 2027
CLIA Number33D2023933
Laboratory TypePhysician Office
Certificate Effective DateMay 5, 2025
Certificate Expiration DateMay 4, 2027
Laboratory DirectorDr. Jeffrey H. Stern
Laboratory Phone(518) 437-1111
Laboratory LocationCapital Region Retina, PLLC1365 Washington Avenue, Suite 101, Albany, NY 12206
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Region Retina, PLLC's NPI number?

The NPI number for Capital Region Retina, PLLC is 1982888988. It was assigned to this organization in the NPPES registry on December 27, 2007.

Where is Capital Region Retina, PLLC located?

Capital Region Retina, PLLC is located at 1365 Washington Ave Suite 101, Albany, NY 12206. The listed phone number is (518) 437-1111.

What is Capital Region Retina, PLLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Capital Region Retina, PLLC enrolled in Medicare?

Yes. Capital Region Retina, PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Capital Region Retina, PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Ophthalmology, reassign their Medicare billing to Capital Region Retina, 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. Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Capital Region Retina, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 33D2023933) is associated with this NPI, valid through May 4, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Capital Region Retina, PLLC was last updated on December 27, 2007. 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.