Individual provider Active NPI

Patricia A Hughes, D.O.

  • Pediatric Infectious Diseases Physician
  • Schenectady, NY
National Provider Identifier
1629061734
Registry record updated Mar 17, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Infectious Diseases PhysicianTaxonomy code 2080P0208X
License
183580 Issued in NY
Practice address
624 McClellan Street
Suite G05
Schenectady, NY 12304-1020
Phone
(518) 347-5113
Fax
(518) 347-5169
NPI assigned
Aug 24, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Infectious Diseases Physician 2080P0208X 183580-1 NY
Pediatric Infectious Diseases Physician 2080P0208X 183580 NY Primary

Addresses

Primary practice location

624 McClellan Street
Suite G05
Schenectady, NY 12304-1020

Mailing address

624 McClellan Street
Suite G05
Schenectady, NY 12304-1020
Phone (518) 347-5113

Other identifiers 1

IdentifierTypeStateIssuer
01240037MedicaidNY

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
I20070530000174 NY Practitioner - Infectious DiseasePractitioner - Pediatric Medicine 9335246206 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
183580-1NYMDPediatric Infectious Diseases Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ellis Hospital CurrentSince Sep 1, 2012 Accepting new patients

Locations

624 McClellan St
Ste G2
Schenectady, NY 12304
Phone (518) 382-2203

1101 Nott St
Schenectady, NY 12308
Phone (518) 243-1916

624 McClellan St
Ste G05
Schenectady, NY 12304
Phone (518) 347-5113

600 McClellan St
Schenectady, NY 12304
Phone (518) 382-2000

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1124841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237248000000",
    "number": "1629061734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "624 MCCLELLAN STREET",
            "address_2": "SUITE G05",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123041020",
            "telephone_number": "518-347-5113",
            "fax_number": "518-347-5169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 MCCLELLAN STREET",
            "address_2": "SUITE G05",
            "city": "SCHENECTADY",
            "state": "NY",
            "postal_code": "123041020",
            "telephone_number": "518-347-5113",
            "fax_number": "518-347-5169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUGHES",
        "first_name": "PATRICIA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-24",
        "last_updated": "2009-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0208X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Infectious Diseases",
            "state": "NY",
            "license": "183580-1",
            "primary": false
        },
        {
            "code": "2080P0208X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Infectious Diseases",
            "state": "NY",
            "license": "183580",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01240037",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Schenectady, NY

Sources for this page

Verify at the official NPI Registry.