Individual provider Active NPI

Carl J Hanig, M.D.

  • Specialist
  • Syracuse, NY
National Provider Identifier
1821198565
Registry record updated Jul 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
149126-1 Issued in NY
Practice address
716 James St
Ste 108
Syracuse, NY 13203-2087
Phone
(315) 472-4467
Fax
(315) 472-0197
NPI assigned
Sep 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 149126-1 NY Primary

Addresses

Primary practice location

716 James St
Ste 108
Syracuse, NY 13203-2087

Mailing address

716 James St
Ste 108
Syracuse, NY 13203-2087
Phone (315) 472-4467

Other identifiers 1

IdentifierTypeStateIssuer
1295723534OtherNYGROUP PRACTICE NPI

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
I20100126000077 NY Practitioner - Ophthalmology 9234271545 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
149126-1NYMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Ophthalmology Medical Service Group Inc CurrentSince Jan 1, 1997 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: hanigc@hiemail.healtheconnections.org
  • Direct secure messaging: carlj.hanig@syracuseeyephysiciansllp.chartmakerdirect.com

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": "1158969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279497600000",
    "number": "1821198565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "716 JAMES ST",
            "address_2": "STE 108",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132032087",
            "telephone_number": "315-472-4467",
            "fax_number": "315-472-0197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "716 JAMES ST",
            "address_2": "STE 108",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132032087",
            "telephone_number": "315-472-4467",
            "fax_number": "315-472-0197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANIG",
        "first_name": "CARL",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-23",
        "last_updated": "2010-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "149126-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PRACTICE NPI",
            "identifier": "1295723534",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

Verify at the official NPI Registry.