Individual provider Active NPI

Bradley Sklar, M.D.

  • Gastroenterology Physician
  • Utica, NY
National Provider Identifier
1003899261
Registry record updated Jun 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
179332-1 Issued in NY
Practice address
116 Business Park Drive
1St Floor
Utica, NY 13502-6313
Phone
(315) 624-7000
Fax
(315) 793-1129
NPI assigned
Nov 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 179332-1 NY Primary

Addresses

Primary practice location

116 Business Park Drive
1St Floor
Utica, NY 13502-6313

Mailing address

116 Business Park Drive
1St Floor
Utica, NY 13502-6313
Phone (315) 624-7000

Other identifiers 1

IdentifierTypeStateIssuer
01407836MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051208000219 NY Practitioner - Gastroenterology 8426079229 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
New York University Medical College - NLG, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MVHS IncGroup PAC ID 2769380252, 330 clinicians
Digestive Disease Medicine of Central New York LLPGroup PAC ID 1254351141, 15 clinicians

Practice addresses (Care Compare)

111 Hospital Dr
Utica, NY 13502-2517
Phone (315) 624-6000

116 Business Park Dr
Suite 1
Utica, NY 13502-6313
Phone (315) 624-7070

1676 Sunset Ave
Utica, NY 13502-5416
Phone (315) 625-6000

Hospital & facility affiliations

  • Wynn Hospital Hospital, Utica, NY, CCN 330044

Merit-based Incentive Payment System (MIPS)

Final score
23.77 of 100Reported as individual
Quality
0
Promoting interoperability
0
Improvement activities
0
Cost
79.24

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy457
Upper gastrointestinal (GI) endoscopy for acid reflux428

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
179332-1NYMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mohawk Valley Ec, LLC Current Accepting new patients
MVHS Inc CurrentSince Nov 1, 2025 Accepting new patients
MVHS Inc CurrentSince Nov 1, 2025 Accepting new patients

Locations

1656 Champlin Ave
New Hartford, NY 13413
Phone (315) 624-6222

116 Business Park Dr
Ste 1
Utica, NY 13502
Phone (315) 624-7000

116 Business Park Dr
Utica, NY 13502
Phone (315) 624-7000

1676 Sunset Ave
Utica, NY 13502
Phone (315) 624-5567

Organizations & group practices 4

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 1

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

NPI Registry JSON

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

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591142400000",
    "number": "1003899261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 BUSINESS PARK DRIVE",
            "address_2": "1ST FLOOR",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135026313",
            "telephone_number": "315-624-7000",
            "fax_number": "315-793-1129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 BUSINESS PARK DRIVE",
            "address_2": "1ST FLOOR",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135026313",
            "telephone_number": "315-624-7000",
            "fax_number": "315-793-1129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKLAR",
        "first_name": "BRADLEY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-22",
        "last_updated": "2020-06-03",
        "certification_date": "2020-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "179332-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01407836",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Utica, NY

Sources for this page

Verify at the official NPI Registry.