Active NPI
Phillip John Gary, MD
- Pulmonary Disease Physician
- Syracuse, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 312739
- Practice address
- 90 Presidential Plaza
2ND FL
Syracuse, NY 13202 - Phone
- (315) 464-3835
- Fax
- (315) 464-3837
- NPI assigned
- Apr 1, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | 321739 | NY | |
| Pulmonary Disease Physician | 207RP1001X | 67353 | MN | |
| Pulmonary Disease Physician | 207RP1001X | 312739 | NY | Primary |
Addresses
Primary practice location
90 Presidential Plaza
2ND FL
Syracuse, NY 13202
Mailing address
90 Presidential Plaza
2ND FL
Syracuse, NY 13202
Phone (315) 464-3835
Other practice location 1
100 E Lancaster Ave
Wynnewood, PA 19096-3450
Phone (484) 276-2000
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- Drexel University College of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
17 Lansing St
Auburn, NY 13021-1983
4900 Broad Rd
Syracuse, NY 13215-2265
Phone (315) 492-5678
750 E Adams St
Syracuse, NY 13210-2306
Phone (315) 464-4457
77 Nelson St
Auburn, NY 13021-1941
Hospital & facility affiliations
- University Hospital S U N Y Health Science Center
- Auburn Community Hospital
- Crouse Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 67353 | MN | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Department of Medicine Medical Serv GRP at Suny HLTH Sci Ctr Syr in | Internal Medicine | Current | Accepting new patients |
| Auburn Community Hospital | Current | Accepting new patients | |
| Auburn Memorial Medical Services, PC | Internal Medicine | Current | Accepting new patients |
| Department of Medicine Medical Service Group | Current | Accepting new patients | |
| Upstate Community Medical, PC | Current | Accepting new patients | |
| Auburn Memorial Medical Services, PC | Current | Accepting new patients | |
| Auburn Community Hospital | Internal Medicine | Current | Accepting new patients |
| Suny Health Science Center at Syracuse | Past | Accepting new patients |
Locations
77 Nelson St
Ste 120
Auburn, NY 13021
Phone (315) 252-7550
17 Lansing St
Sennett, NY 13021
Phone (315) 255-7011
4900 Broad Rd
Ste 4H
Syracuse, NY 13215
Phone (315) 492-5678
90 Presidential Plz
Syracuse, NY 13202
Phone (315) 464-3836
1001 W Fayette St
Ste 400
Syracuse, NY 13204
Phone (315) 472-1488
4900 Broad Rd
Syracuse, NY 13215
Phone (315) 492-5011
90 Presidential Plz
Fl 2
Syracuse, NY 13202
Phone (315) 464-3833
750 E Adams St
Syracuse, NY 13210
Phone (315) 464-4363
Interoperability endpoints
- pgary144245@direct.upstate.edu
- pgary@amms.medentdirect.com
Organizations & group practices 8
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.
-
- Orthopaedic Surgery Physician
- Auburn, NY
- NPI 1194913749
Internal Medicine
-
- Internal Medicine Physician
- Syracuse, NY
- NPI 1063468239
-
- Hospitalist Physician
- Syracuse, NY
- NPI 1689620163
-
- General Acute Care Hospital
- Auburn, NY
- NPI 1093712911
-
- Internal Medicine Physician
- Auburn, NY
- NPI 1336855683
-
- Foot & Ankle Surgery Podiatrist
- Auburn, NY
- NPI 1467151852
-
- Hematology & Oncology Physician
- Homer, NY
- NPI 1205104262
-
- General Acute Care Hospital
- Syracuse, NY
- NPI 1578554630
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Auburn, NY
- NPI 1093712911
-
- General Acute Care Hospital
- Syracuse, NY
- NPI 1033107743
-
- General Acute Care Hospital
- Syracuse, NY
- NPI 1578554630
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459468800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705622400000",
"number": "1548623002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "90 PRESIDENTIAL PLAZA",
"address_2": "2ND FL",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "13202",
"telephone_number": "315-464-3835",
"fax_number": "315-464-3837"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "90 PRESIDENTIAL PLAZA",
"address_2": "2ND FL",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "13202",
"telephone_number": "315-464-3835",
"fax_number": "315-464-3837"
}
],
"practiceLocations": [
{
"address_1": "100 E Lancaster Ave",
"address_purpose": "LOCATION",
"city": "Wynnewood",
"state": "PA",
"postal_code": "190963450",
"country_code": "US",
"telephone_number": "484-276-2000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GARY",
"first_name": "PHILLIP",
"middle_name": "JOHN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-04-01",
"last_updated": "2024-01-19",
"certification_date": "2024-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "NY",
"license": "321739",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "MN",
"license": "67353",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "NY",
"license": "312739",
"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 Jan 19, 2024; 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.