NPIMap

Individual provider Active NPI

Mark John Metwally, MD

  • Gastroenterology Physician
  • Burnt Hills, NY
National Provider Identifier
1316122823
Registry record updated Feb 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
274634 Issued in NY
Practice address
848 Route 50
Burnt Hills, NY 12027
Phone
(518) 831-1500
Fax
(518) 377-1677
NPI assigned
Jan 3, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2025

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 274634 NY Primary

Addresses

Primary practice location

848 Route 50
Burnt Hills, NY 12027

Mailing address

848 Route 50
Burnt Hills, NY 12027-9511
Phone (518) 831-1500

Other practice location 1

1770 Route 9
Halfmoon, NY 12065-2495
Phone (518) 831-1500

Other practice location 2

1 West Ave Ste 130
Saratoga Springs, NY 12866-6050
Phone (518) 831-1500

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
I20140724001571 NY Practitioner - Gastroenterology 0749304343 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Saratoga Schenectady Gastroenterology Associates, PCGroup PAC ID 6608855168, 31 clinicians

Practice addresses (Care Compare)

848 State Route 50
Burnt Hills, NY 12027-9511
Phone 51883115001100

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy160
Upper gastrointestinal (GI) endoscopy for acid reflux151

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Saratoga Schenectady Gastroenterology Associates, PC Gastroenterology CurrentSince Sep 1, 2014 Accepting new patients
Fairfield County Medical Services Inc Past Accepting new patients

Locations

848 State Route 50
Burnt Hills, NY 12027
Phone (518) 831-1500

1770 Route 9
Halfmoon, NY 12065
Phone (518) 688-1380

1 West Ave
Ste 130
Saratoga Springs, NY 12866
Phone (518) 831-1500

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FECGDD

Organizations & group practices 2

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 20

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

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1199318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738540800000",
    "number": "1316122823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "848 ROUTE 50",
            "city": "BURNT HILLS",
            "state": "NY",
            "postal_code": "120279511",
            "telephone_number": "518-831-1500",
            "fax_number": "518-377-1677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "848 ROUTE 50",
            "city": "BURNT HILLS",
            "state": "NY",
            "postal_code": "12027",
            "telephone_number": "518-831-1500",
            "fax_number": "518-377-1677"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1770 Route 9",
            "address_purpose": "LOCATION",
            "city": "Halfmoon",
            "state": "NY",
            "postal_code": "120652495",
            "country_code": "US",
            "telephone_number": "518-831-1500",
            "fax_number": "518-377-1677",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 West Ave Ste 130",
            "address_purpose": "LOCATION",
            "city": "Saratoga Springs",
            "state": "NY",
            "postal_code": "128666050",
            "country_code": "US",
            "telephone_number": "518-831-1500",
            "fax_number": "518-377-1677",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "METWALLY",
        "first_name": "MARK",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-03",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "274634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burnt Hills, NY

Sources for this page

Verify at the official NPI Registry.