Individual provider Active NPI

Samuel M Hykin, M.D.

  • Surgery Physician
  • Troy, NY
National Provider Identifier
1356603179
Registry record updated Apr 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
287893 Issued in NY
Practice address
720 Hoosick Rd
Troy, NY 12180
Phone
(518) 687-9779
NPI assigned
Jun 8, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Surgery Physician 208600000X 287893 NY Primary

Addresses

Primary practice location

720 Hoosick Rd
Troy, NY 12180

Mailing address

PO Box 14890
Albany, NY 12212-4890
Phone (518) 525-5634

Other practice location 1

750 E Adams St
Syracuse, NY 13210-2342
Phone (315) 464-5540

Other practice location 2

319 So Manning Blvd Suite 307
St. Peter's Bariatric Care
Albany, NY 12208
Phone (518) 525-5208

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
I20180904000671 NY Practitioner - General Surgery 9537419197 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

720 Hoosick Rd
Troy, NY 12180-6673
Phone (518) 687-9779

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux29

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ellis Hospital CurrentSince Mar 9, 2022 Accepting new patients
St. Peter'S Health Partners Medical Associates, P.C. CurrentSince Sep 17, 2018 Accepting new patients
St. Peter'S Health Partners Medical Associates, P.C. Past Accepting new patients
St. Peter'S Hospital of the City of Albany Past Accepting new patients
St. Peter'S Hospital of the City of Albany Past Accepting new patients

Locations

319 S Manning Blvd
Ste 307
Albany, NY 12208
Phone (518) 525-5208

4 Congress Pl
Saratoga Springs, NY 12866
Phone (518) 450-4594

1101 Nott St
Schenectady, NY 12308
Phone (518) 243-1916

2125 River Rd
Schenectady, NY 12309
Phone (518) 229-3339

2 New Hampshire Ave
Troy, NY 12180
Phone (518) 272-0331

720 Hoosick Rd
Troy, NY 12180
Phone (518) 272-7191

Interoperability endpoints

  • Direct secure messaging: shykin789027@direct.trinity-health.org

Organizations & group practices 5

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 2

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": "1339113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556236800000",
    "number": "1356603179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14890",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122124890",
            "telephone_number": "518-525-5634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 HOOSICK RD",
            "city": "TROY",
            "state": "NY",
            "postal_code": "12180",
            "telephone_number": "518-687-9779"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "750 E Adams St",
            "address_purpose": "LOCATION",
            "city": "Syracuse",
            "state": "NY",
            "postal_code": "132102342",
            "country_code": "US",
            "telephone_number": "315-464-5540",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "319 So Manning Blvd Suite 307",
            "address_2": "St. Peter's Bariatric Care",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "NY",
            "postal_code": "12208",
            "country_code": "US",
            "telephone_number": "518-525-5208",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HYKIN",
        "first_name": "SAMUEL",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-08",
        "last_updated": "2019-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "287893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, NY

Sources for this page

Verify at the official NPI Registry.