Active NPI
Brian W Thompson, MD
- Obstetrics & Gynecology Physician
- Syracuse, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 230734
- Practice address
- 725 Irving Ave
Suite 600
Syracuse, NY 13210-1603 - Phone
- (315) 464-5162
- Fax
- (315) 464-4613
- NPI assigned
- Feb 16, 2006
- Last updated
- Aug 22, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 230734 | NY | Primary |
Addresses
Primary practice location
725 Irving Ave
Suite 600
Syracuse, NY 13210-1603
Mailing address
725 Irving Ave
Suite 600
Syracuse, NY 13210-1603
Phone (315) 464-5162
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02512701 | Medicaid | NY |
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
- Obstetrics/Gynecology
- Education
- State University of Ny Upstate Medical University, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
50 Leroy St
Potsdam, NY 13676-1786
Phone (315) 265-3300
725 Irving Ave
Suite 600
Syracuse, NY 13210-1688
Phone (315) 464-5162
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.06 of 100
- Quality
- 96.61
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 31.11
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13183 | AZ | MD | Speech-Language Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Canton-Potsdam Hospital | Current | Accepting new patients | |
| University OB/GYN Associates | Obstetrics & Gynecology | Current | Accepting new patients |
| Canton-Potsdam Hospital | Current | Accepting new patients | |
| Upstate Community Medical, PC | Current | Accepting new patients | |
| Upstate Urology, Inc. | Past | Accepting new patients | |
| Crouse Health Hospital, Inc. | Past | Accepting new patients | |
| Syracuse Women's Specialists, PLLC | Obstetrics & Gynecology | Past | Accepting new patients |
| Edward John Noble Hospital of Gouverneur Ny Swing Bed Unit | Past | Accepting new patients | |
| Edward John Noble Hospital of Gouverneur Ny | Past | Accepting new patients | |
| Syracuse Community Health Center, Inc. | Past | Accepting new patients |
Locations
77 W Barney St
Gouverneur, NY 13642
Phone (315) 287-1000
201 Market St
Ste E
Potsdam, NY 13676
Phone (315) 274-9102
50 Leroy St
Potsdam, NY 13676
Phone (315) 261-6034
1001 W Fayette St
Ste 400
Syracuse, NY 13204
Phone (315) 472-1488
251 Salina Meadows Pkwy
Ste 100
Syracuse, NY 13212
Phone (315) 464-2000
4900 Broad Rd
Ste 2I
Syracuse, NY 13215
Phone (315) 464-6106
4900 Broad Rd
Ste 4H
Syracuse, NY 13215
Phone (315) 492-5678
725 Irving Ave
Ste 600
Syracuse, NY 13210
Phone (315) 464-5162
Interoperability endpoints
- bthompson13801@direct.upstate.edu
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Syracuse Community Health | Federally qualified health center | Corporate Director | Jan 1, 2018 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
- Federally Qualified Health Center (FQHC)
- Syracuse, NY
- NPI 1497796353
Corporate Director
Organizations & group practices 10
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.
-
- General Acute Care Hospital
- Potsdam, NY
- NPI 1568548782
-
- Gynecology Physician
- Syracuse, NY
- NPI 1235170150
Obstetrics & Gynecology
-
- Hospitalist Physician
- Syracuse, NY
- NPI 1689620163
-
- Medicare Defined Swing Bed Hospital Unit
- Potsdam, NY
- NPI 1114104445
-
- General Acute Care Hospital
- Syracuse, NY
- NPI 1033107743
-
dba Edward John Noble Hospital of Gouverneur
- Rural Acute Care Hospital
- Gouverneur, NY
- NPI 1316940745
-
- Medicare Defined Swing Bed Hospital Unit
- Gouverneur, NY
- NPI 1215031885
-
- Federally Qualified Health Center (FQHC)
- Syracuse, NY
- NPI 1497796353
-
- Obstetrics & Gynecology Physician
- Syracuse, NY
- NPI 1164522074
-
- Urology Physician
- Syracuse, NY
- NPI 1003062043
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Syracuse, NY
- NPI 1033107743
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140048000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1377129600000",
"number": "1841264660",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "725 IRVING AVE",
"address_2": "SUITE 600",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132101603",
"telephone_number": "315-464-5162",
"fax_number": "315-464-4613"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "725 IRVING AVE",
"address_2": "SUITE 600",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132101603",
"telephone_number": "315-464-5162",
"fax_number": "315-464-4613"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMPSON",
"first_name": "BRIAN",
"middle_name": "W",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-16",
"last_updated": "2013-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NY",
"license": "230734",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02512701",
"state": "NY"
}
],
"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 Aug 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.