Syracuse Gastroenterological Associates.pc - Medicare Primary Care in East Syracuse, NY

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Syracuse Gastroenterological Associates.pc is a medicare enrolled primary clinic (Internal Medicine - Gastroenterology) in East Syracuse, New York. The current practice location for Syracuse Gastroenterological Associates.pc is 5000 Campuswood Drive, Suite 200, East Syracuse, New York. For appointments, you can reach them via phone at (315) 234-6677. The mailing address for Syracuse Gastroenterological Associates.pc is 5000 Campuswood Drive, Suite 200, East Syracuse, New York and phone number is (315) 234-6677.

Syracuse Gastroenterological Associates.pc is licensed to practice in (license number ). The clinic also participates in the medicare program and its NPI number is 1619947843. 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) 234-6677.

Contact Information

Syracuse Gastroenterological Associates.pc
5000 Campuswood Drive
Suite 200
East Syracuse
NY 13057-1268
(315) 234-6677
(315) 234-4805

Map and Direction


Primary Care Clinic Profile

Full NameSyracuse Gastroenterological Associates.pc
SpecialityInternal Medicine
Location5000 Campuswood Drive, East Syracuse, New York
Authorized Official Name and PositionTabitha Dona (OFFICE MANAGER)
Authorized Official Contact3152346677
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Syracuse Gastroenterological Associates.pc
5000 Campuswood Drive
Suite 200
East Syracuse
NY 13057-1268

Ph: (315) 234-6677		Syracuse Gastroenterological Associates.pc
5000 Campuswood Drive
Suite 200
East Syracuse
NY 13057-1268

Ph: (315) 234-6677

NPI Details:

NPI Number1619947843
Provider Enumeration Date01/23/2006
Last Update Date07/11/2024
Certification Date07/01/2024

Medicare PECOS Information:

Medicare PECOS PAC ID6305814716
Medicare Enrollment IDO20040923000422

Medical Identifiers

Medical identifiers for Syracuse Gastroenterological Associates.pc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1619947843NPI-NPPES
00440157MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RG0100XInternal Medicine - Gastroenterology ()Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Syracuse Gastroenterological Associates.pc acts as a billing entity for following providers:
Provider NameDavid F. Cann
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1093783789
PECOS PAC ID: 1456244466
Enrollment ID: I20040204000437
Provider NameMark Troendle
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1689641094
PECOS PAC ID: 8325937576
Enrollment ID: I20040315000418
Provider NameDushyant N Bhatt
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1376547083
PECOS PAC ID: 2961390455
Enrollment ID: I20040413000006
Provider NameBryan N Houck
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1215932017
PECOS PAC ID: 8325036767
Enrollment ID: I20040504000792
Provider NameAruna Kode
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1124012398
PECOS PAC ID: 9335130673
Enrollment ID: I20040524001074
Provider NameThangam T Malaisoodumperumal
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1265437065
PECOS PAC ID: 6507839917
Enrollment ID: I20040814000065
Provider NameRashid a Khan
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1942204516
PECOS PAC ID: 0941198436
Enrollment ID: I20040907000841
Provider NameJianming Ren
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1093710899
PECOS PAC ID: 0547237513
Enrollment ID: I20040910000790
Provider NameJenifer E Orico
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1003985839
PECOS PAC ID: 5395713309
Enrollment ID: I20040917000842
Provider NameStephen P O'brien
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1295843514
PECOS PAC ID: 2466418082
Enrollment ID: I20041206000844
Provider NameSuzanne I Craybas
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1104820034
PECOS PAC ID: 0547218802
Enrollment ID: I20050105000629
Provider NameDianne M Delaney
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1487621421
PECOS PAC ID: 1153379995
Enrollment ID: I20050107000492
Provider NameScott W Wettig
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1396707394
PECOS PAC ID: 6507806080
Enrollment ID: I20050504000193
Provider NameAdam R Warnken
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1568439032
PECOS PAC ID: 2961444724
Enrollment ID: I20050523000966
Provider NameYoung Lee
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1831249465
PECOS PAC ID: 1456394022
Enrollment ID: I20050604000053
Provider NameSekou R Rawlins
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1851336366
PECOS PAC ID: 1557305901
Enrollment ID: I20050616000072
Provider NameMichael J Petsch
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1033165626
PECOS PAC ID: 4183657976
Enrollment ID: I20051101000072
Provider NameVenkatarao Kamani
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1063416782
PECOS PAC ID: 9931122652
Enrollment ID: I20060109000919
Provider NameRachel C Elder
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1790778868
PECOS PAC ID: 7911990643
Enrollment ID: I20060508000757
Provider NameDavid a Inman
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1437142510
PECOS PAC ID: 1456344191
Enrollment ID: I20060508000790
Provider NameMargaret H Kowalski
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1235122318
PECOS PAC ID: 0840200044
Enrollment ID: I20060508000805
Provider NameTeriza B Shehatou
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1477548543
PECOS PAC ID: 3476563677
Enrollment ID: I20060629000191
Provider NameKatherine a Kirk
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1982791901
PECOS PAC ID: 9335246800
Enrollment ID: I20070517000188
Provider NameTodd Huber
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1114087830
PECOS PAC ID: 4082713961
Enrollment ID: I20070618000172
Provider NameCheruku B Reddy
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1437251675
PECOS PAC ID: 7315917424
Enrollment ID: I20070917000165
Provider NameHeidi L Rienhardt
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1821299140
PECOS PAC ID: 7315034733
Enrollment ID: I20071101000502
Provider NameJessica K Lockwood
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1073792891
PECOS PAC ID: 4981784501
Enrollment ID: I20080108000501
Provider NameElizabeth H Oczkowski
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1881621183
PECOS PAC ID: 1355425380
Enrollment ID: I20080228000418
Provider NameMaria T Borczuk
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1174700462
PECOS PAC ID: 9133203003
Enrollment ID: I20080303000020
Provider NameSuzette M Trovato
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1932145224
PECOS PAC ID: 8325180524
Enrollment ID: I20100127000138
Provider NameEdward L Pieper
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1275863623
PECOS PAC ID: 1456494509
Enrollment ID: I20100211000420
Provider NameChristopher P Parisi
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1386682193
PECOS PAC ID: 3577759943
Enrollment ID: I20101124000466
Provider NameJoseph Perkowski
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1447227848
PECOS PAC ID: 4385833383
Enrollment ID: I20110106000314
Provider NameJacob Thomas
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1063418440
PECOS PAC ID: 8921996422
Enrollment ID: I20110114000830
Provider NameMaria C Ziemba
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1780689570
PECOS PAC ID: 0749178242
Enrollment ID: I20110119000897
Provider NameDennis W Reedy
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1285614404
PECOS PAC ID: 7618945924
Enrollment ID: I20110120000095
Provider NameTimothy E Mccall
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1144224866
PECOS PAC ID: 4486542982
Enrollment ID: I20110203000217
Provider NameIntikhab Iqbal
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1063650489
PECOS PAC ID: 1456404169
Enrollment ID: I20110415000223
Provider NameBrian T Pavlovitz
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1912157454
PECOS PAC ID: 0244418994
Enrollment ID: I20110628000208
Provider NameElizabeth Ann Teneyck
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1174810980
PECOS PAC ID: 1355511445
Enrollment ID: I20110829000195
Provider NameJerry J Micho
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1205866704
PECOS PAC ID: 2466403456
Enrollment ID: I20111027000525
Provider NameKathryn S Walsh
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1518195635
PECOS PAC ID: 8527114545
Enrollment ID: I20120110000202
Provider NameAlicia M Dodge
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1982972915
PECOS PAC ID: 1850552399
Enrollment ID: I20120411000005
Provider NameMark E Costaldi
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1770769564
PECOS PAC ID: 4284897901
Enrollment ID: I20120516000561
Provider NameAdam E Wojdyla
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1134464068
PECOS PAC ID: 0941442388
Enrollment ID: I20130814000198
Provider NameAdam M Berg
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1629251251
PECOS PAC ID: 0042485237
Enrollment ID: I20130830000019
Provider NameTracy H Walker
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1740402379
PECOS PAC ID: 9436387081
Enrollment ID: I20140106001443
Provider NameLogan N Ward
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1598191686
PECOS PAC ID: 2264662832
Enrollment ID: I20140226001410
Provider NameJeri L Poor
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1124439971
PECOS PAC ID: 7618292632
Enrollment ID: I20150216001587
Provider NameBrittany L Maloney
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1801277702
PECOS PAC ID: 3476867557
Enrollment ID: I20150803001705
Provider NameDavid R Lebec
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1871569491
PECOS PAC ID: 7810962818
Enrollment ID: I20151201000082
Provider NameBryan Boyer
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1962680512
PECOS PAC ID: 1456437631
Enrollment ID: I20161006001652
Provider NameBrian M Duffy
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1568721280
PECOS PAC ID: 4981992229
Enrollment ID: I20161019001512
Provider NameRaghava Pavoor
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1255775102
PECOS PAC ID: 7012234420
Enrollment ID: I20161026001515
Provider NameAaron G Jannetti
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1003364977
PECOS PAC ID: 8123306511
Enrollment ID: I20161107001273
Provider NameKaty Rose Quilter-carr
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1225441074
PECOS PAC ID: 8123246659
Enrollment ID: I20161117001439
Provider NameIrene Nzasi
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1508308545
PECOS PAC ID: 9133400583
Enrollment ID: I20161227001105
Provider NameJennifer L Swearingen
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1215489653
PECOS PAC ID: 0345522702
Enrollment ID: I20170119000243
Provider NamePaul Crescenzi
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1124555602
PECOS PAC ID: 2860768090
Enrollment ID: I20171016002789
Provider NameKristen L Ryder
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1013435494
PECOS PAC ID: 0547526444
Enrollment ID: I20171109000747
Provider NameBrian K Clark
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1821059403
PECOS PAC ID: 1658360441
Enrollment ID: I20180924000983
Provider NameTimothy Walker
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1851870562
PECOS PAC ID: 0446595102
Enrollment ID: I20181227001607
Provider NameDavid a Baum
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1750648317
PECOS PAC ID: 7719149962
Enrollment ID: I20190122002780
Provider NameAdnan Huric
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1235611096
PECOS PAC ID: 0446599369
Enrollment ID: I20190311001703
Provider NameMichael P Tennysen
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1225522956
PECOS PAC ID: 8921349127
Enrollment ID: I20190417001129
Provider NameNatalya Iorio
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1164862223
PECOS PAC ID: 1355688961
Enrollment ID: I20191025001477
Provider NameElizabeth Walker
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1982247177
PECOS PAC ID: 3779918917
Enrollment ID: I20200116002594
Provider NameJoseph a Sciarrino
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1427537745
PECOS PAC ID: 6709213275
Enrollment ID: I20200221001207
Provider NameKenneth J Cuda
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1104328186
PECOS PAC ID: 7810324308
Enrollment ID: I20200221002010
Provider NameDmitriy a Shanturov
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1326691130
PECOS PAC ID: 5799112090
Enrollment ID: I20200226002333
Provider NameDiego a Villamizar
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1083069496
PECOS PAC ID: 6608112412
Enrollment ID: I20200713001480
Provider NameKelsey Vera Moss
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1508301805
PECOS PAC ID: 4587947015
Enrollment ID: I20210105002366
Provider NameAshley Diane Lavalley
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1720698319
PECOS PAC ID: 9234546482
Enrollment ID: I20210406000541
Provider NameLyea Dorae Shine
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1396346870
PECOS PAC ID: 3577963750
Enrollment ID: I20210609001582
Provider NameCasey Mitchell Tymko
Provider TypePractitioner - Anesthesiology
Provider IdentifiersNPI Number: 1760910525
PECOS PAC ID: 3274934765
Enrollment ID: I20210622000397
Provider NameMaham Khalid Sindhu
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1306441662
PECOS PAC ID: 2961804083
Enrollment ID: I20210713000698
Provider NameAdam Bailey
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1609472158
PECOS PAC ID: 3577967207
Enrollment ID: I20210803001889
Provider NameEvan Himchak
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1245627678
PECOS PAC ID: 9234487026
Enrollment ID: I20211110000314
Provider NameMichael Bamerick
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1477209708
PECOS PAC ID: 2466831219
Enrollment ID: I20220624000601
Provider NameTheresa Fronce
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1225770209
PECOS PAC ID: 2365822012
Enrollment ID: I20220712001347
Provider NameNicholas Granato
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1558014787
PECOS PAC ID: 3971998840
Enrollment ID: I20221026001943
Provider NameJedd Dillman
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1568098655
PECOS PAC ID: 5092134262
Enrollment ID: I20221206002598
Provider NameErika Reakes
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1255076741
PECOS PAC ID: 7911380852
Enrollment ID: I20230112001235
Provider NameCharlie C Au
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1508588484
PECOS PAC ID: 3678938016
Enrollment ID: I20230508001990
Provider NameKelley Hull
Provider TypePractitioner - Physician Assistant
Provider IdentifiersNPI Number: 1184408965
PECOS PAC ID: 9032566237
Enrollment ID: I20231109001587
Provider NameStephen Mehallow
Provider TypePractitioner - Certified Registered Nurse Anesthetist (crna)
Provider IdentifiersNPI Number: 1720659071
PECOS PAC ID: 8628450921
Enrollment ID: I20240930001781
Provider NameJenna C Randall
Provider TypePractitioner - Nurse Practitioner
Provider IdentifiersNPI Number: 1619701927
PECOS PAC ID: 7911430509
Enrollment ID: I20241105000643
Provider NameElaheh N Harrington
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1407316524
PECOS PAC ID: 3577079755
Enrollment ID: I20250723003134

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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.