Bill C Hines, MD

Individual provider Active NPI General Practice Physician · Syracuse, NY

NPI 1437140266 · NPPES record last updated Aug 2, 2011

Key facts

NPI
1437140266
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Physician 208D00000X
License
174148-1 (NY)
Practice address
819 S Salina St
Syracuse, NY 13202-3536
Phone
(315) 476-7921
Fax
(315) 475-1448
NPI assigned
Nov 1, 2005
Sex
Male
Sole proprietor
No

Organizations & group practices 4

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.

Medicare Care Compare profile

Specialty
Internal Medicine
Education
State University of Ny Upstate Medical University, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Helio Health Inc (30 clinicians)
Syracuse Community Health Center Inc (29 clinicians)

Practice addresses (Care Compare)

329 N Salina St
Suite 200
Syracuse, NY 13203-1835
Phone (315) 471-1564

930 S Salina St
Syracuse, NY 13202-3530
Phone (315) 234-5985

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20050524000655 NY Practitioner - Internal Medicine
Practitioner - General Practice
1052353620 Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
174148-1NYMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Syracuse Community Health Center Current
since Oct 1, 1999
Accepting new patients
Helio Health, Inc. Current
since Apr 2, 2019
Accepting new patients
Syracuse Community Health Center, Inc. Current
since Oct 1, 1999
Accepting new patients
Helio Health, Inc. Past
since Dec 9, 2019
Accepting new patients

Locations

329 N Salina St
Ste 200
Syracuse, NY 13203

555 E Genesee St
Syracuse, NY 13202
Phone (315) 476-7441

819 S Salina St
Syracuse, NY 13202

Interoperability endpoints

  • Direct secure messaging: bhines686040@direct.ochin.org
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: bill.hines.p1@direct.schcny.nextgenshare.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 174148-1 NY Yes

Addresses

Primary practice location

819 S Salina St
Syracuse, NY 13202-3536

Mailing address

819 S Salina St
Syracuse, NY 13202-3536
Phone (315) 476-7921

Other identifiers

IdentifierTypeStateIssuer
01852359MedicaidNY

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 2, 2011.

{
    "created_epoch": "1130803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312243200000",
    "number": "1437140266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "819 S SALINA ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132023536",
            "telephone_number": "315-476-7921",
            "fax_number": "315-475-1448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 S SALINA ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132023536",
            "telephone_number": "315-476-7921",
            "fax_number": "315-475-1448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINES",
        "first_name": "BILL",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-01",
        "last_updated": "2011-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NY",
            "license": "174148-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01852359",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

All providers in Syracuse, NY · General Practice Physician in New York

Sources for this page

Verify at the official NPI Registry.