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Join Our Network

It’s simple to get started and join the CDPHP provider network

Licensed and adjunct practitioners who would like to join the CDPHP provider network can download the applications forms and send them to CDPHP. If you have any questions while completing the forms, please call CDPHP Credentialing Department at (518) 641-3321 for assistance.

Are you a CDPHP network provider just looking to change your information?
Simply complete and submit the Practitioner Information Change Form.

First Step for All New CDPHP Practitioners is CAQH

Before you do anything else, you will need to get an online credentialing application from The Council for Affordable Quality Healthcare (CAQH). This is the required format for all initial CDPHP credentialing and recredentialing. Go to CAQH Universal Credentialing Datasource 


Licensed Practitioners

Licensed practitioners include physicians, nurse practitioners, physician assistants, certified nurse midwives, chiropractors, dentists, and podiatrists. Learn the qualification requirements for licensed physicians.

Complete and return the following forms:

Review the following documents:


Adjunct Practitioners

Adjunct practitioners include audiologists, certified orthoptists, certified diabetes educators, non-physician nutritionists, optometrists, occupational therapists, physical therapists, and speech therapists. Learn the qualification requirements for adjunct practitioners.

Complete and return the following forms:

Review the following documents:


Please fax the completed forms to CDPHP Credentialing Dept. at (518) 641-3304 or submit by mail to: Capital District Physicians’ Health Plan, Inc. Attention: Credentialing 500 Patroon Creek Blvd Albany, NY 12206