Individual provider Active NPI

Erika M Hegland, DO

  • Family Medicine Physician
  • East Syracuse, NY
National Provider Identifier
1417278912
Registry record updated Feb 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
271536 Issued in NY
Practice address
5000 Brittonfield Pkwy Ste A124
East Syracuse, NY 13057-9215
Phone
(315) 218-0430
NPI assigned
Jun 18, 2010
Last updated
Feb 17, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 271536 NY Primary

Addresses

Primary practice location

5000 Brittonfield Pkwy Ste A124
East Syracuse, NY 13057-9215

Mailing address

PO Box 2003
East Syracuse, NY 13057-4503
Phone (315) 362-5129

Other identifiers 1

IdentifierTypeStateIssuer
03784365MedicaidNY

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
I20131022002082 NY Practitioner - Family Practice 4486889714 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2010
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Select PT, OT and SLP Rehabilitation Ny, PLLCGroup PAC ID 3870986656, 261 clinicians

Practice addresses (Care Compare)

125 Harry Howard Ave
Hudson, NY 12534-1601
Phone (800) 479-7695

5000 Brittonfield Pkwy
Suite A124
East Syracuse, NY 13057-9215
Phone (315) 218-0430

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Erika Marie Hegland DO PC Family Medicine CurrentSince Apr 1, 2021 Accepting new patients
St Josephs Hospital Health Center CurrentSince Mar 1, 2014 Accepting new patients
Emergency Care Services of New York, P.C. CurrentSince Sep 1, 2013 Accepting new patients
St Joseph's Hospital Health Center Family Medicine CurrentSince Mar 1, 2014 Accepting new patients
Robert C Cupelo MD PLLC CurrentSince Feb 21, 2021 Accepting new patients
Emergency Physician Services of New York, P.C. Past Accepting new patients
Exigence Medical of Jamestown PLLC Past Accepting new patients

Locations

5000 Brittonfield Pkwy
Ste A124
East Syracuse, NY 13057
Phone (315) 218-0430

321 Genesee St
Oneida, NY 13421
Phone (315) 361-2020

301 Prospect Ave
Ste 706
Syracuse, NY 13203
Phone (315) 703-5200

Organizations & group practices 8

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 4

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": "1276819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613520000000",
    "number": "1417278912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2003",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130574503",
            "telephone_number": "315-362-5129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 BRITTONFIELD PKWY STE A124",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130579215",
            "telephone_number": "315-218-0430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEGLAND",
        "first_name": "ERIKA",
        "middle_name": "M",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-18",
        "last_updated": "2021-02-17",
        "certification_date": "2021-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "271536",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03784365",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Syracuse, NY

Sources for this page

Verify at the official NPI Registry.