Organization Active NPI

Updesign Primary Care, LLC

  • Internal Medicine Physician
  • Syracuse, NY
National Provider Identifier
1003524349
Registry record updated Dec 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
UPDESIGN PRIMARY CARE, LLC
Practice address
812 State Fair Blvd Ste 2a
Syracuse, NY 13209-1312
Phone
(315) 256-0490
Fax
(315) 887-4240
NPI assigned
Nov 7, 2022
Last updated
Dec 12, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2022

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

Authorized official

Name
Dr. Tingyin Tina Chee, MDNPI 1386064434
Title
Owner
Phone
(315) 256-0490

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

812 State Fair Blvd Ste 2a
Syracuse, NY 13209-1312

Mailing address

812 State Fair Blvd Ste 2a
Syracuse, NY 13209-1312
Phone (315) 256-0490

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230626000086 NY Part B Supplier - Clinic/Group Practice 2264899186 Receives reassigned benefits from 1 practitioner
Practice locations: Manlius, NY; Syracuse, NY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
33D2268363Updesign Primary Care, LLC812 State Fair Blvd, Suite 2a, Syracuse, NY 13209Certificate of waiverSep 8, 2026

National Provider Directory

National Provider Directory

Locations

812 State Fair Blvd
Ste 2A
Syracuse, NY 13209
Phone (315) 256-0490

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1667779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670803200000",
    "number": "1003524349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "812 STATE FAIR BLVD STE 2A",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132091312",
            "telephone_number": "315-256-0490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "812 STATE FAIR BLVD STE 2A",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132091312",
            "telephone_number": "315-256-0490",
            "fax_number": "315-887-4240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPDESIGN PRIMARY CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-07",
        "last_updated": "2022-12-12",
        "certification_date": "2022-12-12",
        "status": "A",
        "authorized_official_last_name": "CHEE",
        "authorized_official_first_name": "TINGYIN",
        "authorized_official_middle_name": "TINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "315-256-0490",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.