NPIMap

Individual provider Active NPI

Bethany A Hawke, MD

  • Emergency Medicine Physician
  • Syracuse, NY
National Provider Identifier
1003348582
Registry record updated Aug 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
297163-1 Issued in NY
Practice address
750 E Adams St
Syracuse, NY 13210-2306
Phone
(315) 464-4363
NPI assigned
Apr 3, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 297163-1 NY Primary

Addresses

Primary practice location

750 E Adams St
Syracuse, NY 13210-2306

Mailing address

750 E Adams St
Syracuse, NY 13210-2306

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190917001834 NY Practitioner - Emergency Medicine 5193062735 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Albany Medical College of Union University, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saratoga HospitalGroup PAC ID 6406740273, 353 clinicians
Healthcare Partners of Saratoga LTDGroup PAC ID 9739320938, 75 clinicians

Practice addresses (Care Compare)

211 Church St
Saratoga Springs, NY 12866-1003
Phone (518) 583-8421

6 Medical Park Dr
Malta, NY 12020-5051
Phone (518) 289-2020

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
297163-1NYMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saratoga Hospital CurrentSince Nov 1, 2024 Accepting new patients
Ellis Hospital Emergency Medicine CurrentSince Nov 12, 2020 Accepting new patients
Port City Emergency Physicians LLP Emergency Medicine CurrentSince Jul 30, 2019 Accepting new patients
Ellis Hospital Emergency Medicine CurrentSince Nov 12, 2020 Accepting new patients
Port City Emergency Physicians LLP Emergency Medicine Current Accepting new patients
Saratoga Hospital CurrentSince Nov 1, 2024 Accepting new patients
Island Emergency Medical Services, P.C. Emergency Medicine CurrentSince Jun 5, 2023 Accepting new patients
Port City Emergency Physicians LLP Emergency Medicine CurrentSince Jul 30, 2019 Accepting new patients
Saratoga Hospital Current Accepting new patients
Healthcare Partners of Saratoga LTD CurrentSince Jul 29, 2023 Accepting new patients

Locations

315 S Manning Blvd
Albany, NY 12208
Phone (518) 525-1852

600 Northern Blvd
Albany, NY 12204
Phone (518) 427-3331

327 Beach 19th St
Far Rockaway, NY 11691
Phone (718) 689-7640

510 S 4th St
Ste 2
Fulton, NY 13069
Phone (315) 592-3510

103 Sitterly Rd
Halfmoon, NY 12065
Phone (518) 579-2700

103 Sitterly Rd
Ste 1100
Halfmoon, NY 12065
Phone (518) 579-2555

6 Medical Park Dr
Malta, NY 12020
Phone (518) 289-2020

110 W 6th St
Oswego, NY 13126
Phone (315) 349-5511

211 Church St
Saratoga Springs, NY 12866
Phone (518) 583-8461

3044 Route 50
Saratoga Springs, NY 12866
Phone (518) 886-5800

1 West Ave
Ste 300
Saratoga Springs, NY 12866
Phone (518) 693-4699

1101 Nott St
Schenectady, NY 12308
Phone (518) 243-1916

200 Harborside Dr
Schenectady, NY 12305
Phone (518) 881-4470

50 Route 25A
Smithtown, NY 11787
Phone (631) 465-6225

2215 Burdett Ave
Troy, NY 12180
Phone (518) 271-3300

Interoperability endpoints

  • Direct secure messaging: bhawke@oswegohealth.hiemail.healtheconnections.org
  • Direct secure messaging: bhawke98540@albanymed.direct-ci.com

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 23

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 23

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1491177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597104000000",
    "number": "1003348582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 E ADAMS ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132102306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 E ADAMS ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132102306",
            "telephone_number": "315-464-4363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWKE",
        "first_name": "BETHANY",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-03",
        "last_updated": "2020-08-11",
        "certification_date": "2020-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "297163-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

Verify at the official NPI Registry.