Active NPI
Rhonaldo Agung Silaban, MD
- Emergency Medicine Physician
- Oswego, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- C177285
- Practice address
- 110 W 6TH St
Oswego, NY 13126-2507 - Phone
- (315) 349-5511
- NPI assigned
- May 2, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | C177285 | CA | Primary |
| Emergency Medicine Physician | 207P00000X | 288385 | NY | |
| Emergency Medicine Physician | 207P00000X | MD461120 | PA |
Addresses
Primary practice location
110 W 6TH St
Oswego, NY 13126-2507
Mailing address
615 James St - B04
Syracuse, NY 13210-2306
Phone (310) 873-7455
Other practice location 1
750 E Adams St
Syracuse, NY 13210-2306
Phone (315) 464-4363
Other practice location 2
206 E Brown St
East Stroudsburg, PA 18301-3006
Phone (570) 421-4000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- 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
- Emergency Medicine
- Education
- Loma Linda University School of Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
27200 Calaroga Ave
Hayward, CA 94545-4339
Phone (510) 264-4026
Hospital & facility affiliations
- St Rose Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.69 of 100
- Quality
- 90
- Improvement activities
- 40
- Cost
- 78.43
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C177285 | CA | MD | Emergency Medicine Physician |
| MD461120 | PA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cep America - California | Emergency Medicine | Current | Accepting new patients |
| Cep America - California | Emergency Medicine | Current | Accepting new patients |
| Nes Western Group, a Professional Corporation | Emergency Medicine | Current | Accepting new patients |
| Cep America-California | Emergency Medicine | Current | Accepting new patients |
| Nes Western Group, a Professional Corporation | Emergency Medicine | Current | Accepting new patients |
Locations
2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638
27200 Calaroga Ave
Hayward, CA 94545
Phone (510) 264-2000
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
1601 Ygnacio Valley Rd
Walnut Creek, CA 94598
Phone (925) 295-1545
Organizations & group practices 5
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.
-
- Emergency Medicine Physician
- San Francisco, CA
- NPI 1023063542
-
- Emergency Medicine Physician
- Porterville, CA
- NPI 1487125019
-
- Emergency Medicine Physician
- Hayward, CA
- NPI 1194741462
-
- Emergency Medicine Physician
- Murrieta, CA
- NPI 1588552848
-
- Emergency Medicine Physician
- Hayward, CA
- NPI 1588249569
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hayward, CA
- NPI 1942298153
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698710400000",
"number": "1013327741",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "615 JAMES ST - B04",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132102306",
"telephone_number": "310-873-7455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 W 6TH ST",
"city": "OSWEGO",
"state": "NY",
"postal_code": "131262507",
"telephone_number": "315-349-5511"
}
],
"practiceLocations": [
{
"address_1": "750 E Adams St",
"address_purpose": "LOCATION",
"city": "Syracuse",
"state": "NY",
"postal_code": "132102306",
"country_code": "US",
"telephone_number": "315-464-4363",
"fax_number": "315-464-4854",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "206 E Brown St",
"address_purpose": "LOCATION",
"city": "East Stroudsburg",
"state": "PA",
"postal_code": "183013006",
"country_code": "US",
"telephone_number": "570-421-4000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SILABAN",
"first_name": "RHONALDO",
"middle_name": "AGUNG",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-05-02",
"last_updated": "2023-10-31",
"certification_date": "2023-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "CA",
"license": "C177285",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NY",
"license": "288385",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "PA",
"license": "MD461120",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oswego, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2023; 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.