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
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
Syracuse Community Health Center Inc
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050524000655 | NY | Practitioner - Internal Medicine |
1052353620 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 174148-1 | NY | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Syracuse Community Health Center | Current |
Accepting new patients | |
| Helio Health, Inc. | Current |
Accepting new patients | |
| Syracuse Community Health Center, Inc. | Current |
Accepting new patients | |
| Helio Health, Inc. | Past |
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
- bhines686040@direct.ochin.org
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- bill.hines.p1@direct.schcny.nextgenshare.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01852359 | Medicaid | NY |
NPI Registry JSON
{
"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
- Sang Hwa Himchak
- Gillian Esther Himes
- Cheri A Himmelreich
- Joseph Thomas Himmelsbach
- Kimberly Marie Hind
- Brenda F Hines
- Laena Taylor Hines
- Kristina Hingre
- Robert Vincent Hingre
- Colleen Hinrichs
All providers in Syracuse, NY · General Practice Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 2, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.