Individual provider Active NPI

Robert A Bielawa, PA

  • Physician Assistant
  • Amsterdam, NY
National Provider Identifier
1972619047
Registry record updated Oct 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
007131 Issued in NY
Practice address
1 Front St
Amsterdam, NY 12010-4819
Phone
(518) 843-4414
Fax
(518) 843-4415
NPI assigned
Aug 22, 2006
Last updated
Oct 11, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 007131 NY Primary

Addresses

Primary practice location

1 Front St
Amsterdam, NY 12010-4819

Mailing address

53 Spring St
Saratoga Springs, NY 12866-3227
Phone (518) 587-1141

Other practice location 1

99 E State St
Gloversville, NY 12078-1203
Phone (518) 212-6090

Other practice location 2

211 Church St
Saratoga Springs, NY 12866-1046
Phone (518) 587-1141

Other identifiers 2

IdentifierTypeStateIssuer
BB9078OtherNYMEDICARE
1972619047MedicaidNY

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050520000873 NY Practitioner - Physician Assistant 6800837618 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Albany Medical College of Union University, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

99 E State St
Gloversville, NY 12078-1203
Phone (518) 773-5690

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Saratoga Hospital CurrentSince Oct 1, 1999 Accepting new patients
Saratoga Hospital CurrentSince Oct 1, 1999 Accepting new patients
Saratoga Hospital Current Accepting new patients
St Marys Healthcare CurrentSince Dec 1, 2024 Accepting new patients
Nathan Littauer Hospital & Nursing Home CurrentSince Nov 1, 2021 Accepting new patients
Saratoga Hospital Current Accepting new patients
St. Mary's Healthcare CurrentSince Dec 1, 2024 Accepting new patients
Saratoga Regional Medical , P.C CurrentSince Jun 1, 2018 Accepting new patients
Saratoga Emergency Physicians, PC Past Accepting new patients
St. Mary's Healthcare Past Accepting new patients
Nathan Littauer Hospital Association Past Accepting new patients

Locations

1 Front St
Amsterdam, NY 12010
Phone (518) 843-2649

375 Golf Course Rd
Amsterdam, NY 12010
Phone (518) 212-6070

380 Guy Park Ave
Amsterdam, NY 12010
Phone (518) 841-7415

427 Guy Park Ave
Amsterdam, NY 12010
Phone (518) 442-1404

442 Guy Park Ave
Amsterdam, NY 12010
Phone (518) 842-0321

4950 State Highway 30
Amsterdam, NY 12010
Phone (518) 770-7557

48 Erie Blvd
Canajoharie, NY 13317
Phone (518) 673-2573

112 Charlton Rd
Charlton, NY 12019
Phone (518) 399-7723

99 E State St
Gloversville, NY 12078
Phone (518) 773-5690

2911 State Route 9
Ste 1
Malta, NY 12020
Phone (518) 363-8815

211 Church St
Saratoga Springs, NY 12866
Phone (518) 583-8461

Interoperability endpoints

  • Direct secure messaging: rbielawa@mayercope.medentdirect.com

Organizations & group practices 15

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.

View all 15

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": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728604800000",
    "number": "1972619047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 SPRING ST",
            "city": "SARATOGA SPRINGS",
            "state": "NY",
            "postal_code": "128663227",
            "telephone_number": "518-587-1141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 FRONT ST",
            "city": "AMSTERDAM",
            "state": "NY",
            "postal_code": "120104819",
            "telephone_number": "518-843-4414",
            "fax_number": "518-843-4415"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "99 E State St",
            "address_purpose": "LOCATION",
            "city": "Gloversville",
            "state": "NY",
            "postal_code": "120781203",
            "country_code": "US",
            "telephone_number": "518-212-6090",
            "fax_number": "518-212-6108",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "211 Church St",
            "address_purpose": "LOCATION",
            "city": "Saratoga Springs",
            "state": "NY",
            "postal_code": "128661046",
            "country_code": "US",
            "telephone_number": "518-587-1141",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BIELAWA",
        "first_name": "ROBERT",
        "middle_name": "A",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-22",
        "last_updated": "2024-10-11",
        "certification_date": "2024-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "007131",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "BB9078",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1972619047",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Amsterdam, NY

Sources for this page

Verify at the official NPI Registry.