Individual provider Active NPI

Scott John Schurman, MD

  • Pediatric Nephrology Physician
  • Syracuse, NY
National Provider Identifier
1821038548
Registry record updated Aug 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nephrology PhysicianTaxonomy code 2080P0210X
License
222696 Issued in NY
Practice address
725 Irving Ave
Crouse Pob Ste 801
Syracuse, NY 13210-1603
Phone
(315) 464-6340
Fax
(315) 464-6329
NPI assigned
Jun 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nephrology Physician 2080P0210X 222696 NY Primary

Addresses

Primary practice location

725 Irving Ave
Crouse Pob Ste 801
Syracuse, NY 13210-1603

Mailing address

725 Irving Ave
Crouse Pob Ste 801
Syracuse, NY 13210-1603
Phone (315) 464-6340

Other identifiers 1

IdentifierTypeStateIssuer
02180234MedicaidNY

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
I20100318000507 NY Practitioner - Pediatric MedicinePractitioner - Nephrology 1951436740 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric MedicineAlso: Nephrology
Education
Ohio Medical University, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pediatric Service GroupGroup PAC ID 9931007200, 12 clinicians

Practice addresses (Care Compare)

725 E Adams St FL 5 Bandc
Pediatric Diabetes Endocrine and Metabolism
Syracuse, NY 13210-2306
Phone (315) 464-5726

750 E Adams St
Syracuse, NY 13210-2306

Hospital & facility affiliations

  • University Hospital S U N Y Health Science Center Hospital, Syracuse, NY, CCN 330241

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Service Group CurrentSince Sep 4, 2001 Accepting new patients

Locations

725 Irving Ave
Ste 801
Syracuse, NY 13210
Phone (315) 464-6340

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

725 Irving Ave
Ste 805
Syracuse, NY 13210
Phone (315) 464-6340

Interoperability endpoints

  • Direct secure messaging: sschurman6043@direct.upstate.edu

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.

Hospital & facility affiliations 1

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": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346112000000",
    "number": "1821038548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 IRVING AVE",
            "address_2": "CROUSE POB STE 801",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132101603",
            "telephone_number": "315-464-6340",
            "fax_number": "315-464-6329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 IRVING AVE",
            "address_2": "CROUSE POB STE 801",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132101603",
            "telephone_number": "315-464-6340",
            "fax_number": "315-464-6329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHURMAN",
        "first_name": "SCOTT",
        "middle_name": "JOHN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2012-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0210X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Nephrology",
            "state": "NY",
            "license": "222696",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02180234",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

Verify at the official NPI Registry.