Individual provider Active NPI

Elizabeth Magowan, MD

  • Trauma Surgery Physician
  • Syracuse, NY
National Provider Identifier
1467987057
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Trauma Surgery PhysicianTaxonomy code 2086S0127X
License
330174 Issued in NY
Practice address
750 E Adams St
Syracuse, NY 13210-2306
Phone
(315) 464-1500
NPI assigned
Apr 21, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 330174 NY
Trauma Surgery Physician 2086S0127X 330174 NY Primary

Addresses

Primary practice location

750 E Adams St
Syracuse, NY 13210-2306

Mailing address

750 E Adams St
Syracuse, NY 13210-2306

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
I20240815000018 NY Practitioner - General Surgery 8325384159 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
State University of Ny Upstate Medical University, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oneida Medical Practice PCGroup PAC ID 9830272350, 51 clinicians
University Surgical Associates LLPGroup PAC ID 7315834165, 49 clinicians

Practice addresses (Care Compare)

301 Genesee St
Oneida, NY 13421-2644

301 Genesee St-Attn Neurology
Suite C
Oneida, NY 13421-2644
Phone (315) 361-2377

321 Genesee St
FL 3
Oneida, NY 13421-2611
Phone (315) 606-2705

4900 Broad Rd
Syracuse, NY 13215-2265

725 Irving Ave
Suite 401
Syracuse, NY 13210-1684
Phone (315) 464-2878

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.86 of 100Reported as group
Quality
83.98
Promoting interoperability
100
Improvement activities
40
Cost
78.23

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
330174NYMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Surgical Associates, LLP Surgery CurrentSince Sep 1, 2024 Accepting new patients
Oneida Medical Practice, PC CurrentSince Sep 1, 2024 Accepting new patients
Oneida Medical Practice, PC CurrentSince Sep 1, 2024 Accepting new patients
Suny Health Science Center at Syracuse Past Accepting new patients

Locations

301 Genesee St
Ste C
Oneida, NY 13421
Phone (315) 361-2377

603 Seneca St
Ste 2
Oneida, NY 13421
Phone (315) 361-1041

750 E Adams St
Ste 2104
Syracuse, NY 13210
Phone (315) 464-2300

725 Irving Ave
Ste 401
Syracuse, NY 13210
Phone (315) 464-2878

750 E Adams St
Syracuse, NY 13210
Phone (315) 464-4363

Interoperability endpoints

  • Direct secure messaging: emagowan45388@direct.upstate.edu
  • Direct secure messaging: emagowan@ompohc.medentdirect.com

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.

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": "1492732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1467987057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 E ADAMS ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132102306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 E ADAMS ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132102306",
            "telephone_number": "315-464-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGOWAN",
        "first_name": "ELIZABETH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-21",
        "last_updated": "2024-08-15",
        "certification_date": "2024-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "330174",
            "primary": false
        },
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "NY",
            "license": "330174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

Verify at the official NPI Registry.