Individual provider Active NPI

Alicia K Bair, MD

  • Internal Medicine Physician
  • Fulton, NY
National Provider Identifier
1750376372
Registry record updated Nov 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
220688 Issued in NY
Practice address
21 N 2ND St
Fulton, NY 13069-1250
Phone
(315) 598-7105
Fax
(315) 598-4857
NPI assigned
Sep 20, 2005
Last updated
Nov 9, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 220688 NY Primary
Hematology & Oncology Physician 207RH0003X 2206881 NY

Addresses

Primary practice location

21 N 2ND St
Fulton, NY 13069-1250

Mailing address

750 E Adams St
Regional Oncology Center
Syracuse, NY 13210-2342
Phone (315) 464-8200

Other identifiers 1

IdentifierTypeStateIssuer
02565644MedicaidNY

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
I20040816000066 NY Practitioner - Medical OncologyPractitioner - HematologyPractitioner - Hematology/OncologyPractitioner - Internal Medicine 4688647035 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Medical OncologyAlso: Hematology, Internal Medicine
Education
State University of Ny Upstate Medical University, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northway Medical Associates, PLLCGroup PAC ID 3577547017, 6 clinicians

Practice addresses (Care Compare)

21 N 2ND St
Fulton, NY 13069-1250
Phone (315) 598-7105

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.58 of 100Reported as group
Quality
100
Improvement activities
40
Cost
85.26

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2206881NYMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northway Medical Associates, PLLC Internal Medicine CurrentSince Sep 13, 2021 Accepting new patients
Syracuse Hematology Oncology PC Hematology & Oncology Past Accepting new patients
Syracuse Hematology Oncology PC Hematology & Oncology Past Accepting new patients

Locations

21 N 2nd St
Fulton, NY 13069
Phone (315) 564-7085

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667952000000",
    "number": "1750376372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 E ADAMS ST",
            "address_2": "REGIONAL ONCOLOGY CENTER",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132102342",
            "telephone_number": "315-464-8200",
            "fax_number": "315-464-8206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 N 2ND ST",
            "city": "FULTON",
            "state": "NY",
            "postal_code": "130691250",
            "telephone_number": "315-598-7105",
            "fax_number": "315-598-4857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAIR",
        "first_name": "ALICIA",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-20",
        "last_updated": "2022-11-09",
        "certification_date": "2022-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "220688",
            "primary": true
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NY",
            "license": "2206881",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02565644",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fulton, NY

Sources for this page

Verify at the official NPI Registry.