Active NPI
Scott Gregory Channels, RPA
- Physician Assistant
- Syracuse, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 005049
- Practice address
- 301 Prospect Ave
Syracuse, NY 13203-1807 - Phone
- (315) 448-5274
- NPI assigned
- Aug 24, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 3
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.
-
- Diagnostic Radiology Physician
- Rome, NY
- NPI 1538466115
NY
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- St Josephs Imaging Associates PLLCProspect Hill Radiology Group P C
Practice addresses (Care Compare)
104 Union Ave
Syracuse, NY 13203-1845
Phone (315) 703-5114
301 Prospect Ave
Syracuse, NY 13203-1807
Phone (315) 448-5274
4109 Medical Ctr Dr
Fayetteville, NY 13066-6600
Phone (315) 329-7555
4117 Medical Ctr Dr
Suite 117
Fayetteville, NY 13066-6600
Phone (315) 452-2555
Hospital & facility affiliations
- St Joseph'S Hospital Health Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.48 of 100
- Quality
- 74.19
- Improvement activities
- 40
- Cost
- 73.55
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: No
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041004000443 | NY | Practitioner - Physician Assistant | 7012976335 | Reassigns benefits to 3 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Interoperability endpoints
- schannels2410331@direct.trinity-health.org
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 005049 | NY | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
301 Prospect Ave
Syracuse, NY 13203-1807
Mailing address
4567 Crossroads Park Dr
2ND FL
Liverpool, NY 13088-3589
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 8, 2007.
{
"created_epoch": "1124841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1467445650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4567 CROSSROADS PARK DR",
"address_2": "2ND FL",
"city": "LIVERPOOL",
"state": "NY",
"postal_code": "130883589"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 PROSPECT AVE",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132031807",
"telephone_number": "315-448-5274"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHANNELS",
"first_name": "SCOTT",
"middle_name": "GREGORY",
"name_prefix": "Mr.",
"credential": "RPA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-24",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "005049",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Syracuse, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.