Individual provider Active NPI

Vincent Skovira, MD

  • Interventional Cardiology Physician
  • Camillus, NY
National Provider Identifier
1942656210
Registry record updated Aug 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
302651 Issued in NY
Practice address
5301 W Genesee St
Camillus, NY 13031-2238
Phone
(315) 833-9900
NPI assigned
May 5, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 302651 NY
Hospitalist Physician 208M00000X 302651 NY
Interventional Cardiology Physician 207RI0011X 302651 NY Primary

Addresses

Primary practice location

5301 W Genesee St
Camillus, NY 13031-2238

Mailing address

5301 W Genesee St
Camillus, NY 13031-2238

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
I20200417000651 NY Practitioner - Interventional CardiologyPractitioner - Internal MedicinePractitioner - Emergency Medicine 1557791407 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Emergency Medicine
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Josephs Medical PCGroup PAC ID 4688855844, 388 clinicians

Practice addresses (Care Compare)

301 Prospect Ave
Syracuse, NY 13203-1807
Phone (315) 448-5111

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting54
Coronary artery bypass graft (CABG)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
United Health Services Hospitals, Inc. CurrentSince Sep 27, 2021 Accepting new patients
United Medical Associates, P.C. CurrentSince Mar 23, 2020 Accepting new patients
Auburn Memorial Medical Services, PC CurrentSince Sep 22, 2025 Accepting new patients
United Medical Associates PC CurrentSince Mar 23, 2020 Accepting new patients
Auburn Community Hospital CurrentSince Sep 22, 2025 Accepting new patients
Auburn Memorial Medical Services, PC Internal Medicine CurrentSince Sep 22, 2025 Accepting new patients
North Medical PC Emergency Medicine Current Accepting new patients
St Josephs Medical PC Emergency Medicine CurrentSince Jul 1, 2023 Accepting new patients
Auburn Community Hospital Internal Medicine CurrentSince Sep 22, 2025 Accepting new patients
St Josephs Hospital Health Center Past Accepting new patients

Locations

77 Nelson St
Ste 120
Auburn, NY 13021
Phone (315) 252-7550

17 Lansing St
Ste 302
Auburn, NY 13021
Phone (315) 567-0540

33 Lewis Rd
Fl 2
Binghamton, NY 13905
Phone (607) 729-8156

5301 W Genesee St
Camillus, NY 13031
Phone (315) 833-9900

33-57 Harrison St
Johnson City, NY 13790
Phone (607) 763-6412

507 Main St
Johnson City, NY 13790
Phone (607) 763-6075

5100 W Taft Rd
Ste 2T
Liverpool, NY 13088
Phone (315) 744-1592

17 Lansing St
Sennett, NY 13021
Phone (315) 255-7011

301 Prospect Ave
Syracuse, NY 13203
Phone (315) 448-5111

4417 Vestal Pkwy E
Vestal, NY 13850
Phone (607) 729-2144

Interoperability endpoints

  • Direct secure messaging: vskovira2809185@direct.trinity-health.org
  • Direct secure messaging: drskovira@amms.medentdirect.com

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 and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1462406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722902400000",
    "number": "1942656210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5301 W GENESEE ST",
            "city": "CAMILLUS",
            "state": "NY",
            "postal_code": "130312238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5301 W GENESEE ST",
            "city": "CAMILLUS",
            "state": "NY",
            "postal_code": "130312238",
            "telephone_number": "315-833-9900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKOVIRA",
        "first_name": "VINCENT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-05",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "302651",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NY",
            "license": "302651",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NY",
            "license": "302651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camillus, NY

Sources for this page

Verify at the official NPI Registry.