Individual provider Active NPI

John Pylman, M.D.

  • Hospitalist Physician
  • Utica, NY
National Provider Identifier
1053560805
Registry record updated Apr 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
271806 Issued in NY
Practice address
1656 Champlin Ave
Utica, NY 13502-4830
Phone
(315) 624-6467
NPI assigned
Sep 17, 2008
Last updated
Apr 22, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 149898 NC
Hospitalist Physician 208M00000X 271806 NY Primary

Addresses

Primary practice location

1656 Champlin Ave
Utica, NY 13502-4830

Mailing address

1656 Champlin Ave
Utica, NY 13502-4830

Other practice location 1

628 Mary St # A
Utica, NY 13501-2419
Phone (315) 272-2622

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
I20140328000245 NY Practitioner - Family Practice 3072744465 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Washington University School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Olive Tree Medical Associates PLLCGroup PAC ID 3072814383, 2 clinicians

Practice addresses (Care Compare)

Clinton, NY 13323
Phone (315) 207-4222

2050 Tilden Ave
New Hartford, NY 13413-3613
Phone (315) 797-3114

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
23.64 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
78.81

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
149898NCMDInternal Medicine Physician
271806NYMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Charles T Sitrin Health Care Center, Inc CurrentSince Jun 5, 2018 Accepting new patients
MVHS Inc CurrentSince Aug 19, 2013 Accepting new patients
Charles T. Sitrin Health Care Center, Inc Current Accepting new patients
MVHS Inc CurrentSince Aug 19, 2013 Accepting new patients
The Neighborhood Center, Inc. CurrentSince Feb 20, 2025 Accepting new patients
Olive Tree Medical Associates PLLC CurrentSince Oct 15, 2015 Accepting new patients
St Luke's Home Residential Health Care Facility Inc Past Accepting new patients

Locations

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

2050 Tilden Ave
New Hartford, NY 13413
Phone (315) 737-2466

1656 Champlin Ave
Utica, NY 13502
Phone (315) 624-6241

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

624 Elizabeth St
Utica, NY 13501
Phone (315) 272-2600

Interoperability endpoints

  • Direct secure messaging: jpylman13883@mvhealthsystem.direct-ci.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Charles T Sitrin Network of Homes & Services, Inc.New Hartford, NY, CCN 335475 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
May 1, 2017
May 1, 2017

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 7

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.

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": "1221609600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745280000000",
    "number": "1053560805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1656 CHAMPLIN AVE",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135024830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1656 CHAMPLIN AVE",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135024830",
            "telephone_number": "315-624-6467"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "628 Mary St # A",
            "address_purpose": "LOCATION",
            "city": "Utica",
            "state": "NY",
            "postal_code": "135012419",
            "country_code": "US",
            "telephone_number": "315-272-2622",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PYLMAN",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-17",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "149898",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NY",
            "license": "271806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Utica, NY

Sources for this page

Verify at the official NPI Registry.