Active NPI
Andrij R Wojtowycz, M.D.
- Diagnostic Radiology Physician
- Syracuse, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 147745-1
- Practice address
- 750 E Adams St
3Rd Floor Radiology
Syracuse, NY 13210-2306 - Phone
- (315) 464-6672
- NPI assigned
- Aug 19, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nuclear Medicine Physician | 207U00000X | 147745 | NY | |
| Diagnostic Radiology Physician | 2085R0202X | 147745-1 | NY | Primary |
Addresses
Primary practice location
750 E Adams St
3Rd Floor Radiology
Syracuse, NY 13210-2306
Mailing address
224 Harrison St
Suite 601
Syracuse, NY 13202-3056
Phone (315) 464-5660
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01013698 | Medicaid | NY | |
| 02224500 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- New York University School of Medicine, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
208 Township Blvd
Suite 400
Camillus, NY 13031-1674
Phone (315) 551-6004
4900 Broad Rd
Syracuse, NY 13215-2265
Phone (315) 492-5526
550 Harrison St
Syracuse, NY 13202-3188
5584 E Main St
Suite F
Verona, NY 13478-3531
Phone (315) 473-3300
725 E Adams St
Syracuse, NY 13210-2576
Phone (315) 464-9057
750 E Adams St
Syracuse, NY 13210-2306
Phone (315) 464-5189
Hospital & facility affiliations
- University Hospital S U N Y Health Science Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.49 of 100
- Quality
- 77.62
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 147745-1 | NY | MD | Diagnostic Radiology Physician |
| 147745 | NY | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Radiology Associates, LLP | Diagnostic Radiology | Current | Accepting new patients |
| St. Josephs Imaging Associates PLLC | Diagnostic Radiology | Past | Accepting new patients |
| Department of Medicine Medical Serv GRP at Suny HLTH Sci Ctr Syr in | Past | Accepting new patients | |
| Central New York Pet LLC | Nuclear Medicine | Past | Accepting new patients |
Locations
208 Township Blvd
Ste 400
Camillus, NY 13031
Phone (315) 551-6004
8687 Carling Rd
Ste E
Liverpool, NY 13090
Phone (315) 473-3330
4900 Broad Rd
Ste 2G
Syracuse, NY 13215
Phone (315) 299-5313
750 E Adams St
Syracuse, NY 13210
Phone (315) 464-4363
725 E Adams St
Ste 2A
Syracuse, NY 13210
Phone (315) 464-9057
550 Harrison St
Ste 125
Syracuse, NY 13202
4900 Broad Rd
Syracuse, NY 13215
Phone (315) 492-5011
750 E Adams St
Fl 3
Syracuse, NY 13210
Phone (315) 464-6672
224 Harrison St
Ste 601
Syracuse, NY 13202
Phone (315) 464-6672
Interoperability endpoints
- awojtowycz7045@direct.upstate.edu
Organizations & group practices 4
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.
-
- Diagnostic Radiology Physician
- Syracuse, NY
- NPI 1215978184
-
- Nuclear Medicine Physician
- Liverpool, NY
- NPI 1174515712
-
- Internal Medicine Physician
- Syracuse, NY
- NPI 1063468239
-
- Diagnostic Radiology Physician
- Liverpool, NY
- NPI 1093709180
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Syracuse, NY
- NPI 1578554630
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1205712000000",
"number": "1003808635",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "224 HARRISON ST",
"address_2": "SUITE 601",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132023056",
"telephone_number": "315-464-5660"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "750 E ADAMS ST",
"address_2": "3RD FLOOR RADIOLOGY",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132102306",
"telephone_number": "315-464-6672"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOJTOWYCZ",
"first_name": "ANDRIJ",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-19",
"last_updated": "2008-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "207U00000X",
"taxonomy_group": "",
"desc": "Nuclear Medicine",
"state": "NY",
"license": "147745",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NY",
"license": "147745-1",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01013698",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02224500",
"state": "NY"
}
],
"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 Mar 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.