Syracuse Community Health Center, Inc. - Medicare Primary Care in Syracuse, NY

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Syracuse Community Health Center, Inc. is a medicare enrolled primary clinic (Clinic/center - Federally Qualified Health Center (fqhc)) in Syracuse, New York. The current practice location for Syracuse Community Health Center, Inc. is 819 S Salina St, Syracuse, New York. For appointments, you can reach them via phone at (315) 476-7921. The mailing address for Syracuse Community Health Center, Inc. is 819 S Salina St, Syracuse, New York and phone number is (315) 476-7921.

Syracuse Community Health Center, Inc. is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1497796353. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (315) 476-7921.

Contact Information

Syracuse Community Health Center, Inc.
819 S Salina St
Syracuse
NY 13202-3527
(315) 476-7921
Not Available

Map and Direction


Primary Care Clinic Profile

Full NameSyracuse Community Health Center, Inc.
SpecialityClinic/Center
Location819 S Salina St, Syracuse, New York
Authorized Official Name and PositionCarol A O'connor (BILLING MANAGER)
Authorized Official Contact3154767921
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Syracuse Community Health Center, Inc.
819 S Salina St
Syracuse
NY 13202-3527

Ph: (315) 476-7921		Syracuse Community Health Center, Inc.
819 S Salina St
Syracuse
NY 13202-3527

Ph: (315) 476-7921

NPI Details:

NPI Number1497796353
Provider Enumeration Date06/09/2006
Last Update Date08/02/2016

Medicare PECOS Information:

Medicare PECOS PAC ID0143121327
Medicare Enrollment IDO20040120000443

Medical Identifiers

Medical identifiers for Syracuse Community Health Center, Inc. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1497796353NPI-NPPES
00474204MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
261QC1500XClinic/center - Community Health (* (Not Available))Secondary
261QF0400XClinic/center - Federally Qualified Health Center (fqhc) (* (Not Available))Primary
261QM1300XClinic/center - Multi-specialty (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Syracuse Community Health Center, Inc. acts as a billing entity for following providers:
Provider NameFelipe Diaz
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1568431799
PECOS PAC ID: 5890684559
Enrollment ID: I20040311001243
Provider NameJames Mariano Cimo
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1265424626
PECOS PAC ID: 9436142171
Enrollment ID: I20040416000722
Provider NameGeorge L Stanley
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1043201973
PECOS PAC ID: 0244218261
Enrollment ID: I20040707001406
Provider NameHenry N Chionuma
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1457355380
PECOS PAC ID: 2860462314
Enrollment ID: I20040730000533
Provider NameRitu Bajaj
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1386603983
PECOS PAC ID: 3173590734
Enrollment ID: I20040913001289
Provider NameBharathi N Shivanand
Provider TypePractitioner - Oral Surgery
Provider IdentifiersNPI Number: 1548222631
PECOS PAC ID: 0244288140
Enrollment ID: I20050107000150
Provider NameRobert D Semlear
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1629163423
PECOS PAC ID: 8224076880
Enrollment ID: I20050422001119
Provider NameBill C Hines
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1437140266
PECOS PAC ID: 1052353620
Enrollment ID: I20050524000655
Provider NameKristen M Graves
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1316900582
PECOS PAC ID: 2466479183
Enrollment ID: I20051101000309
Provider NameCesar L Baruja-baquer
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1477518868
PECOS PAC ID: 4082637277
Enrollment ID: I20060113000655
Provider NameSuraiya A Aziz
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1508043746
PECOS PAC ID: 4385654573
Enrollment ID: I20060503000061
Provider NameMichael T Schiano
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1245246933
PECOS PAC ID: 3173520178
Enrollment ID: I20061106000305
Provider NameRoy A Smith
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1235129933
PECOS PAC ID: 3779686555
Enrollment ID: I20070315000342
Provider NameChima O Chionuma
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1669437687
PECOS PAC ID: 4082714118
Enrollment ID: I20070703000067
Provider NameNancy F Bailey
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1891906426
PECOS PAC ID: 8729171574
Enrollment ID: I20070910000712
Provider NameHdayatu Salawu
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1831379874
PECOS PAC ID: 0749360378
Enrollment ID: I20080108000604
Provider NameMoustafa Mk Awayda
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1548250749
PECOS PAC ID: 3678642089
Enrollment ID: I20080527000125
Provider NameNavneesh Kabarwal
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1568645646
PECOS PAC ID: 7416020672
Enrollment ID: I20080721000710
Provider NameOfrona A Reid
Provider TypePractitioner - Hospitalist
Provider IdentifiersNPI Number: 1750529103
PECOS PAC ID: 7618002015
Enrollment ID: I20100323000748
Provider NameAmanda J Avery
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1851528566
PECOS PAC ID: 6204964661
Enrollment ID: I20100506000222
Provider NameHarold A Horowitz
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1134183239
PECOS PAC ID: 3971634023
Enrollment ID: I20100706000564
Provider NameBrenda L Richardson
Provider TypePractitioner - Oral Surgery
Provider IdentifiersNPI Number: 1093772634
PECOS PAC ID: 2769514645
Enrollment ID: I20100712000372
Provider NameFilofteia Badila
Provider TypePractitioner - Oral Surgery
Provider IdentifiersNPI Number: 1023070133
PECOS PAC ID: 7911039870
Enrollment ID: I20100713000609
Provider NameRuth Dlamini-ndeze
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1235193517
PECOS PAC ID: 0345374237
Enrollment ID: I20100813000631
Provider NameEileen M Essi
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1215990841
PECOS PAC ID: 0648304352
Enrollment ID: I20100817001062
Provider NameLawrence Reiter
Provider TypePractitioner - Dentist
Provider IdentifiersNPI Number: 1447213434
PECOS PAC ID: 9830213578
Enrollment ID: I20100901000435
Provider NameYola Augustin
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1144282278
PECOS PAC ID: 0840315297
Enrollment ID: I20100909000188
Provider NameFrancisca N Okafor
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1134374085
PECOS PAC ID: 5193918001
Enrollment ID: I20101025000310
Provider NameZarina S Smith
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1215941273
PECOS PAC ID: 5799971974
Enrollment ID: I20101130000946
Provider NameLorna C Forbes
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1477873776
PECOS PAC ID: 6901093269
Enrollment ID: I20101213000448
Provider NameDavid T Ouyang
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1417937780
PECOS PAC ID: 5597722421
Enrollment ID: I20110125000078
Provider NameJennifer L Coyne
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1366754533
PECOS PAC ID: 8022298462
Enrollment ID: I20110202000396
Provider NameMaygoe R Sheehan
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1073772729
PECOS PAC ID: 6901086826
Enrollment ID: I20110210000302
Provider NameShailaja Potdar
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1992714117
PECOS PAC ID: 9032392543
Enrollment ID: I20110322000019
Provider NameLinda Confer
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1437455599
PECOS PAC ID: 3274717343
Enrollment ID: I20110414000204
Provider NameDanielle M Bannigan
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1336300565
PECOS PAC ID: 7810172244
Enrollment ID: I20110429000345
Provider NameJustin Michael Dexter
Provider TypePractitioner - Ophthalmology
Provider IdentifiersNPI Number: 1336309723
PECOS PAC ID: 5890971618
Enrollment ID: I20110512000229
Provider NameVardan Sood
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1003194671
PECOS PAC ID: 8224207782
Enrollment ID: I20110818000063
Provider NameKeith B Brown
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1255684817
PECOS PAC ID: 3173777695
Enrollment ID: I20130211000427
Provider NameDavid B Torrales
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1659669661
PECOS PAC ID: 4284872623
Enrollment ID: I20130524000456
Provider NameSunny P Aslam
Provider TypePractitioner - Psychiatry
Provider IdentifiersNPI Number: 1912161159
PECOS PAC ID: 4981843232
Enrollment ID: I20130617000385
Provider NameFrankie B Quarles
Provider TypePractitioner - Obstetrics/gynecology
Provider IdentifiersNPI Number: 1447594494
PECOS PAC ID: 8022243138
Enrollment ID: I20131025001656
Provider NameTafiea A Stokes
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1023459534
PECOS PAC ID: 3779713946
Enrollment ID: I20140310000305
Provider NameCaroline E Berrios
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1679982771
PECOS PAC ID: 7517186299
Enrollment ID: I20140910002522
Provider NameGwendolyn Moore
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1487058145
PECOS PAC ID: 1355563925
Enrollment ID: I20141114001358
Provider NameNicole P Defurio
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1043532476
PECOS PAC ID: 1951613116
Enrollment ID: I20150701001490
Provider NameJoan D Buckley White
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1801851779
PECOS PAC ID: 7911219670
Enrollment ID: I20150709000038
Provider NameMaria C Lumbrazo
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1134351851
PECOS PAC ID: 6103130844
Enrollment ID: I20150807015399
Provider NameAdesuwa Bello
Provider TypePractitioner - Oral Surgery
Provider IdentifiersNPI Number: 1144557281
PECOS PAC ID: 7012226327
Enrollment ID: I20151027000965
Provider NameMagdalena S De La Cruz
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1164864237
PECOS PAC ID: 8224272422
Enrollment ID: I20151125001152
Provider NameHarjot Kaur
Provider TypePractitioner - Oral Surgery
Provider IdentifiersNPI Number: 1679776306
PECOS PAC ID: 8527363753
Enrollment ID: I20160225000443
Provider NameMehreen S Chaudhary
Provider TypePractitioner - Oral Surgery
Provider IdentifiersNPI Number: 1447615778
PECOS PAC ID: 9133424393
Enrollment ID: I20160225001423
Provider NameAndrea V Shaw
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1912141904
PECOS PAC ID: 8820222102
Enrollment ID: I20160328001730
Provider NameBarbara E Teich-visco
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1093939035
PECOS PAC ID: 0345536629
Enrollment ID: I20160913001581
Provider NameSpencer L Joseph
Provider TypePractitioner - Dentist
Provider IdentifiersNPI Number: 1497152409
PECOS PAC ID: 1355620683
Enrollment ID: I20170124000608
Provider NameKenyatta Mack Gates
Provider TypePractitioner - Dentist
Provider IdentifiersNPI Number: 1023007374
PECOS PAC ID: 0840575247
Enrollment ID: I20170328000169
Provider NameTashika Gomez
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1053575829
PECOS PAC ID: 3678859378
Enrollment ID: I20170412000881
Provider NameAmira Goldberg
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1558721373
PECOS PAC ID: 8729386842
Enrollment ID: I20170801001224
Provider NameLauren E Carlyle
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1760758858
PECOS PAC ID: 3476865577
Enrollment ID: I20170906002510
Provider NameJennifer Macblane
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1386941193
PECOS PAC ID: 6800160961
Enrollment ID: I20170928000788
Provider NameSong Y Park
Provider TypePractitioner - Dentist
Provider IdentifiersNPI Number: 1225486947
PECOS PAC ID: 9739454117
Enrollment ID: I20171011001498
Provider NameSarah J Dunn
Provider TypePractitioner - Other (non-physician)
Provider IdentifiersNPI Number: 1558541557
PECOS PAC ID: 7214294842
Enrollment ID: I20171206001879
Provider NameTiffany Chere Damon
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1700376688
PECOS PAC ID: 2860740206
Enrollment ID: I20180801002829
Provider NameIlyana Rahman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1538648332
PECOS PAC ID: 9931450509
Enrollment ID: I20180920000896
Provider NameGlenn H Forsythe
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1447559497
PECOS PAC ID: 0547513681
Enrollment ID: I20181019000537
Provider NameLaura Sucapani
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1811477698
PECOS PAC ID: 9931453636
Enrollment ID: I20181115002292
Provider NameWanda M Averhart
Provider TypePractitioner - Pediatric Medicine
Provider IdentifiersNPI Number: 1598184632
PECOS PAC ID: 0345542403
Enrollment ID: I20190114002335
Provider NameKimberly Pisarczyk
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1578124657
PECOS PAC ID: 5092043083
Enrollment ID: I20190829001358
Provider NameAshley E Crumb
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1104279215
PECOS PAC ID: 5395076822
Enrollment ID: I20191014002233
Provider NameVirginia L. Cronin
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1164619888
PECOS PAC ID: 5496062424
Enrollment ID: I20200120001029
Provider NameDana Baker
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1972161925
PECOS PAC ID: 8123190717
Enrollment ID: I20200319001252
Provider NameElizabeth A Randall
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1144846502
PECOS PAC ID: 0446677249
Enrollment ID: I20200825001684
Provider NameMary Angeli Aguinaldo
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1174046916
PECOS PAC ID: 3678845609
Enrollment ID: I20200903000530
Provider NameKim-anh Pham
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1730799164
PECOS PAC ID: 3173934361
Enrollment ID: I20201118003238
Provider NameSarah A Lockwood
Provider TypePractitioner - Certified Nurse Midwife (cnm)
Provider IdentifiersNPI Number: 1790384956
PECOS PAC ID: 9931512167
Enrollment ID: I20210107002858
Provider NameAbigail Paige Tillman
Provider TypePractitioner - Family Practice
Provider IdentifiersNPI Number: 1326488347
PECOS PAC ID: 3577706431
Enrollment ID: I20210204000544
Provider NameRyan G Clark
Provider TypePractitioner - Dentist
Provider IdentifiersNPI Number: 1528372133
PECOS PAC ID: 0345545992
Enrollment ID: I20210301001067
Provider NameErin Healy
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1508533688
PECOS PAC ID: 3173920980
Enrollment ID: I20210921003488
Provider NamePortia Prince Webster
Provider TypePractitioner - Clinical Social Worker
Provider IdentifiersNPI Number: 1942644067
PECOS PAC ID: 7618366154
Enrollment ID: I20211122002970
Provider NameKaeli Jo Harney
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1033635388
PECOS PAC ID: 4688061591
Enrollment ID: I20220425000337
Provider NameJessica Ward
Provider TypePractitioner - Optometry
Provider IdentifiersNPI Number: 1184116980
PECOS PAC ID: 3072990274
Enrollment ID: I20220509001694
Provider NameAimee Hillman
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1053964031
PECOS PAC ID: 2769864230
Enrollment ID: I20220729002612
Provider NameJerome Daniel
Provider TypePractitioner - Dentist
Provider IdentifiersNPI Number: 1720294374
PECOS PAC ID: 7719354281
Enrollment ID: I20221114001250
Provider NameDelaney Palmatier
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1346984705
PECOS PAC ID: 8729456603
Enrollment ID: I20221128000473
Provider NameFlorica Miller
Provider TypePractitioner - Dentist
Provider IdentifiersNPI Number: 1124175229
PECOS PAC ID: 8123307766
Enrollment ID: I20230110000461
Provider NameDana Beebe
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1346927936
PECOS PAC ID: 8123464039
Enrollment ID: I20240314001080

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.