UPSTATE COMMUNITY MEDICAL, PC
NPI 1689620163
Hospitalist in Syracuse, NY
About Upstate Community Medical, Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
UPSTATE COMMUNITY MEDICAL, PC (NPI 1689620163) is a healthcare organization registered as a hospitalist in Syracuse, New York and active in the NPI registry since May 2006. The organization lists Amy Tucker, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 3
Other Identifiers 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Upstate Community Medical, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
231Medicare enrollment records show 231 clinicians reassign Medicare billing to Upstate Community Medical, PC, which bills Medicare for the services they deliver. Of these, 21 practice at this address and 167 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 22
Nearest to this location (20)
See all 231Syracuse, NY 13215
Syracuse, NY 13215
Syracuse, NY 13215
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Upstate Community Medical, PC's NPI number?
The NPI number for Upstate Community Medical, PC is 1689620163. It was assigned to this organization in the NPPES registry on May 26, 2006.
Where is Upstate Community Medical, PC located?
Upstate Community Medical, PC is located at 4900 Broad Rd, Syracuse, NY 13215. The listed phone number is (315) 492-5305.
What is Upstate Community Medical, PC's specialty?
The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.
Is Upstate Community Medical, PC enrolled in Medicare?
Yes. Upstate Community Medical, PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Upstate Community Medical, PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 231 clinicians in 22 Medicare specialties reassign their Medicare billing to Upstate Community Medical, PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Hospitalist (52), Internal Medicine (44) and Nurse Practitioner (33). Of these, 21 practice at this address and 167 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Upstate Community Medical, PC was last updated on March 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Upstate Community Medical, Pc · NPI 1689620163
Hospitalist organization in Syracuse, New York. Organization record, active in the CMS NPPES registry since May 26, 2006.
## Identity
- **NPI:** 1689620163 (Entity type: Organization)
- **Enumerated:** May 26, 2006
- **Primary specialty:** Hospitalist · taxonomy 208M00000X
- **Organization subpart:** No
- **Authorized official:** Amy Tucker, PRESIDENT
## Practice location
- **Address:** 4900 BROAD RD, Syracuse, NY 13215-2265
- **Phone:** (315) 492-5305 · **Fax:** (315) 492-5320
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 231 clinicians in 22 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Hospitalist (52), Internal Medicine (44), Nurse Practitioner (33); 21 practice at this address and 167 within 10 miles; [full list](https://npiprofile.com/npi/1689620163/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 3, 2021
- **Other identifiers:** Medicaid 02771722 (NY); Other DE7448 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1689620163) · Data from the CMS NPPES public registry.