Individual provider Active NPI

Bruce S Ushkow, M.D.

  • Emergency Medicine Physician
  • Hammondsport, NY
National Provider Identifier
1013903806
Registry record updated Mar 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
191365-1 Issued in NY
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, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
01495909MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL, CA, AZ, MI, GA, TX7 enrollments
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 7

Enrollment IDStateProvider typePAC IDDetails
I20061019000150 NY Practitioner - Emergency Medicine 8325044126 Reassigns benefits to 6 organizations
I20230111000676 FL Practitioner - HospitalistPractitioner - Emergency Medicine 8325044126 Reassigns benefits to 1 organization
I20230323002373 CA Practitioner - Emergency Medicine 8325044126
I20230508000940 AZ Practitioner - Emergency Medicine 8325044126 Reassigns benefits to 1 organization
I20230717001012 MI Practitioner - Emergency Medicine 8325044126 Reassigns benefits to 1 organization
I20230802002425 GA Practitioner - Emergency Medicine 8325044126
I20230811002710 TX Practitioner - Emergency Medicine 8325044126 Reassigns benefits to 1 organization

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
Relymd Virtual Health Regional PCGroup PAC ID 1052828878, 10 clinicians
Relymd Virtual Health Ga LLCGroup PAC ID 2466997945, 14 clinicians

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

LicenseStateTypeSpecialty
191365-1NYMDEmergency Medicine Physician
U3042TXMDEmergency Medical Services (Emergency Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ucm Digital Ipa, Inc. CurrentSince Dec 18, 2022 Accepting new patients
Samaritan Hospital of Troy, New York CurrentSince Jan 1, 2019 Accepting new patients
Relymd Virtual Health Regional, PC Emergency Medicine CurrentSince Jun 22, 2025 Accepting new patients
Relymd Virtual Health Ca, PC Emergency Medicine CurrentSince Oct 6, 2025 Accepting new patients
Sheridan Emergency Physician Services Inc Emergency Medicine CurrentSince Apr 20, 2023 Accepting new patients
Relymd Virtual Health Ga, LLC Emergency Medicine CurrentSince May 22, 2024 Accepting new patients
Epmg of Michigan, P.C. Emergency Medicine CurrentSince Jun 13, 2023 Accepting new patients
Questcare Medical Services, PLLC Emergency Medicine CurrentSince Feb 23, 2023 Accepting new patients
Sheridan Emergency Physician Services, Inc Emergency Medicine CurrentSince Apr 20, 2023 Accepting new patients
Sheridan Emergency Physician Services Inc Emergency Medicine Current Accepting new patients
Island Emergency Medical Services, P.C. Emergency Medicine CurrentSince May 1, 2023 Accepting new patients
Relymd Virtual Health TX, PA Emergency Medicine CurrentSince Nov 19, 2025 Accepting new patients
Emcare - PNX Emergency Physicians LLC Emergency Medicine CurrentSince Jan 19, 2023 Accepting new patients
Questcare Medical Services, PLLC Emergency Medicine CurrentSince Feb 23, 2023 Accepting new patients
Medevac Midamerica Inc PastSince Sep 8, 2023 Accepting new patients
Bethlehem Volunteer Ambulance PastSince Sep 1, 2008 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

  • Direct secure messaging: bushkow788725@direct.trinity-health.org
  • FHIR API: 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.

View all 16

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

Verify at the official NPI Registry.