Individual provider Active NPI

Adam G Duckett, DO

  • Family Medicine Physician
  • Auburn, NY
National Provider Identifier
1497900633
Registry record updated Jan 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
256831 Issued in NY
Practice address
37 W Garden St
Suite #201
Auburn, NY 13021-2662
Phone
(315) 567-0777
Fax
(315) 702-8393
NPI assigned
Dec 1, 2008
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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of New England, College of Osteo Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
East Hill Family Medical, Inc. 2 clinicians

Practice addresses (Care Compare)

13 N Fulton St
Auburn, NY 13021-2703
Phone (315) 253-8477

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Liverpool, NY, CCN 337255
  • Auburn Community Hospital Hospital, Auburn, NY, CCN 330235

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
I20100920000596 NY Practitioner - Family Practice 0042335606 Reassigns benefits to 1 organization

All facility ownership & control disclosures 1

Medicare enrollment files

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
East Hill Medical CenterAuburn, NY, CCN 331007 Federally qualified health center Corporate Officer Apr 4, 2016

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
256831NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
East Hill Family Medical, Inc. Family Medicine CurrentSince Apr 13, 2025 Accepting new patients
East Hill Family Medical, Inc. Family Medicine CurrentSince Sep 25, 2019 Accepting new patients
Comfortcare of Cayuga County Inc Family Medicine PastSince Jan 21, 2014 Accepting new patients

Locations

144 Genesee St
Ste 500
Auburn, NY 13021
Phone (315) 253-6796

144 Genesee St
Ste 401
Auburn, NY 13021
Phone (315) 253-8477

13 N Fulton St
Auburn, NY 13021
Phone (315) 253-8477

Interoperability endpoints

  • Direct secure messaging: aduckett@ehfm.medentdirect.com

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 256831 NY Primary

Addresses

NPPES NPI Registry

Primary practice location

37 W Garden St
Suite #201
Auburn, NY 13021-2662

Mailing address

37 W Garden St
Suite 201
Auburn, NY 13021-2662
Phone (315) 567-0777

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
03229747MedicaidNY

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 29, 2015.

{
    "created_epoch": "1228089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422489600000",
    "number": "1497900633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 W GARDEN ST",
            "address_2": "SUITE 201",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130212662",
            "telephone_number": "315-567-0777",
            "fax_number": "315-702-8393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 W GARDEN ST",
            "address_2": "SUITE #201",
            "city": "AUBURN",
            "state": "NY",
            "postal_code": "130212662",
            "telephone_number": "315-567-0777",
            "fax_number": "315-702-8393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUCKETT",
        "first_name": "ADAM",
        "middle_name": "G",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-12-01",
        "last_updated": "2015-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "256831",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03229747",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, NY

Sources for this page

Verify at the official NPI Registry.