NPIMap

Individual provider Active NPI

Austin Tyler Thacker, DO

  • Hospitalist Physician
  • Batavia, NY
National Provider Identifier
1992382121
Registry record updated Oct 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
327793 Issued in NY
Practice address
127 North St
Batavia, NY 14020-1631
Phone
(585) 343-6030
NPI assigned
Mar 25, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 327793 NY Primary
Family Medicine Physician 207Q00000X 327793 NY

Addresses

Primary practice location

127 North St
Batavia, NY 14020-1631

Mailing address

100 Kings Hwy S
Rochester, NY 14617-5504

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address athacker323757@direct.rochesterregional.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241031000044 NY Practitioner - Hospitalist 4981137882 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hospitalist
Education
University of Pikeville, Kentucky College of Osteopathic Med, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
United Memorial Medical CenterGroup PAC ID 0547259376, 271 clinicians
Orleans Community HealthGroup PAC ID 7315857018, 20 clinicians
Canton-Potsdam HospitalGroup PAC ID 6204827280, 243 clinicians

Practice addresses (Care Compare)

127 N St
Batavia, NY 14020-1631
Phone (585) 344-5449

200 Ohio St
Medina, NY 14103-1063
Phone (716) 798-2000

50 Leroy St
Potsdam, NY 13676-1786
Phone (315) 265-3300

Hospital & facility affiliations

  • Homecare & Hospice Hospice, Allegany, NY, CCN 331549
  • United Memorial Medical Center Hospital, Batavia, NY, CCN 330073
  • Canton-Potsdam Hospital Hospital, Potsdam, NY, CCN 330197
  • Rochester General Hospital Hospital, Rochester, NY, CCN 330125
  • Strong Memorial Hospital Hospital, Rochester, NY, CCN 330285
  • Unity Hospital Hospital, Rochester, NY, CCN 330226

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
327793NYMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
United Memorial Medical Center Current Accepting new patients
United Memorial Medical Center Family Medicine CurrentSince Sep 24, 2024 Accepting new patients
Rochester General Hospital CurrentSince Sep 2, 2024 Accepting new patients
Canton-Potsdam Hospital CurrentSince Jan 12, 2026 Accepting new patients
The Unity Hospital of Rochester Current Accepting new patients
Orleans Community Health CurrentSince Dec 1, 2024 Accepting new patients
Rochester General Hospital Family Medicine Current Accepting new patients
Rochester General Hospital Hospitalist CurrentSince Sep 2, 2024 Accepting new patients
Canton-Potsdam Hospital CurrentSince Jan 12, 2026 Accepting new patients
Orleans Community Health Current Accepting new patients
The Unity Hospital of Rochester CurrentSince Sep 2, 2024 Accepting new patients
Orleans Community Health Family Medicine CurrentSince Dec 1, 2024 Accepting new patients

Locations

16 Bank St
Batavia, NY 14020
Phone (585) 344-4800

127 North St
Batavia, NY 14020
Phone (585) 267-7510

200 Ohio St
Medina, NY 14103
Phone (585) 798-2000

201 Market St
Ste E
Potsdam, NY 13676
Phone (315) 274-9102

50 Leroy St
Potsdam, NY 13676
Phone (315) 261-6034

1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122

1555 Long Pond Rd
Rochester, NY 14626
Phone (585) 429-2289

100 Kings Hwy S
Rochester, NY 14617
Phone (585) 922-0553

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1616630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727913600000",
    "number": "1992382121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 KINGS HWY S",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146175504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 NORTH ST",
            "city": "BATAVIA",
            "state": "NY",
            "postal_code": "140201631",
            "telephone_number": "585-343-6030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THACKER",
        "first_name": "AUSTIN",
        "middle_name": "TYLER",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-25",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NY",
            "license": "327793",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "327793",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "athacker323757@direct.rochesterregional.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "127 North St",
            "city": "Batavia",
            "state": "NY",
            "country_code": "US",
            "postal_code": "140201631",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Batavia, NY

Sources for this page

Verify at the official NPI Registry.