Active NPI
Bruce S Ushkow, M.D.
- Emergency Medicine Physician
- Hammondsport, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 191365-1
- Practice address
- 9667 Crystal Beach Rd
Hammondsport, NY 14840-9341 - Phone
- (607) 284-4075
- Fax
- (607) 284-4075
- NPI assigned
- Sep 27, 2005
- Last updated
- Mar 27, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 191365-1 | NY | Primary |
| Emergency Medical Services (Emergency Medicine) Physician | 207PE0004X | U3042 | TX |
Addresses
Primary practice location
9667 Crystal Beach Rd
Hammondsport, NY 14840-9341
Mailing address
9667 Crystal Beach Rd
Hammondsport, NY 14840-9341
Phone (607) 284-4075
Other practice location 1
2215 Burdett Ave
Emergency Department
Troy, NY 12180-2466
Phone (518) 271-3450
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01495909 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, FL, CA, AZ, MI, GA, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 7
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Albany Medical College of Union University, 1990
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
9667 Crystal Beach Rd
Hammondsport, NY 14840-9341
Phone (518) 858-4201
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 191365-1 | NY | MD | Emergency Medicine Physician |
| U3042 | TX | MD | Emergency Medical Services (Emergency Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ucm Digital Ipa, Inc. | Current | Accepting new patients | |
| Samaritan Hospital of Troy, New York | Current | Accepting new patients | |
| Relymd Virtual Health Regional, PC | Emergency Medicine | Current | Accepting new patients |
| Relymd Virtual Health Ca, PC | Emergency Medicine | Current | Accepting new patients |
| Sheridan Emergency Physician Services Inc | Emergency Medicine | Current | Accepting new patients |
| Relymd Virtual Health Ga, LLC | Emergency Medicine | Current | Accepting new patients |
| Epmg of Michigan, P.C. | Emergency Medicine | Current | Accepting new patients |
| Questcare Medical Services, PLLC | Emergency Medicine | Current | Accepting new patients |
| Sheridan Emergency Physician Services, Inc | Emergency Medicine | Current | Accepting new patients |
| Sheridan Emergency Physician Services Inc | Emergency Medicine | Current | Accepting new patients |
| Island Emergency Medical Services, P.C. | Emergency Medicine | Current | Accepting new patients |
| Relymd Virtual Health TX, PA | Emergency Medicine | Current | Accepting new patients |
| Emcare - PNX Emergency Physicians LLC | Emergency Medicine | Current | Accepting new patients |
| Questcare Medical Services, PLLC | Emergency Medicine | Current | Accepting new patients |
| Medevac Midamerica Inc | Past | Accepting new patients | |
| Bethlehem Volunteer Ambulance | Past | Accepting new patients |
Locations
250 E Dunlap Ave
Phoenix, AZ 85020
Phone (480) 331-6721
1525 NW 62nd St
Ft Lauderdale, FL 33309
Phone (954) 939-6693
1210 S Old Dixie Hwy
Jupiter, FL 33458
Phone (561) 743-5073
1431 SW 1st Ave
Ocala, FL 34471
Phone (352) 401-1425
4600 SW 46th Ct
Ocala, FL 34474
Phone (352) 291-3000
5665 New Northside Dr
Ste 320
Sandy Springs, GA 30328
Phone (770) 874-5468
775 S Main St
Chelsea, MI 48118
Phone (313) 995-3764
620 Byron Rd
Howell, MI 48843
Phone (517) 545-5450
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
103 Sitterly Rd
Halfmoon, NY 12065
Phone (518) 579-2700
2 Empire Dr
Ste 202
Rensselaer, NY 12144
Phone (518) 286-4990
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
1300 Massachusetts Ave
Troy, NY 12180
Phone (518) 268-5000
147 Hoosick St
Troy, NY 12180
Phone (518) 268-5749
216 River St
Ste 3
Troy, NY 12180
Phone (844) 484-7362
2215 Burdett Ave
Troy, NY 12180
Phone (518) 271-3300
3301 Matlock Rd
Arlington, TX 76015
Phone (682) 509-6200
7777 Forest Ln
Dallas, TX 75230
Phone (972) 566-7283
3901 W 15th St
Plano, TX 75075
Phone (972) 519-1115
Interoperability endpoints
- bushkow788725@direct.trinity-health.org
- https://fhir4.healow.com/fhir/r4/BIAACA/Endpoint/BIAACA
Organizations & group practices 16
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Emergency Medicine Physician
- Far Rockaway, NY
- NPI 1639160385
-
- General Acute Care Hospital
- Troy, NY
- NPI 1043267727
-
- Emergency Medicine Physician
- Phoenix, AZ
- NPI 1902855992
-
- Emergency Medicine Physician
- Livonia, MI
- NPI 1386688992
-
- Emergency Medicine Physician
- Dallas, TX
- NPI 1912059247
-
- Emergency Medicine Physician
- Jupiter, FL
- NPI 1598748030
-
- General Practice Physician
- Troy, NY
- NPI 1003527821
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679875200000",
"number": "1013903806",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9667 CRYSTAL BEACH RD",
"city": "HAMMONDSPORT",
"state": "NY",
"postal_code": "148409341",
"telephone_number": "607-284-4075",
"fax_number": "607-284-4075"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9667 CRYSTAL BEACH RD",
"city": "HAMMONDSPORT",
"state": "NY",
"postal_code": "148409341",
"telephone_number": "607-284-4075",
"fax_number": "607-284-4075"
}
],
"practiceLocations": [
{
"address_1": "2215 Burdett Ave",
"address_2": "Emergency Department",
"address_purpose": "LOCATION",
"city": "Troy",
"state": "NY",
"postal_code": "121802466",
"country_code": "US",
"telephone_number": "518-271-3450",
"fax_number": "518-271-3919",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "USHKOW",
"first_name": "BRUCE",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-27",
"last_updated": "2023-03-27",
"certification_date": "2023-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NY",
"license": "191365-1",
"primary": true
},
{
"code": "207PE0004X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Emergency Medical Services",
"state": "TX",
"license": "U3042",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01495909",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hammondsport, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.