Seth Evan Kronenberg, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

213129 Issued in NY

Practice address

739 Irving Ave
Ste 200
Syracuse, NY 13210-1668

Phone

(315) 479-5070

Fax

(315) 701-2520

NPI assigned

Jun 15, 2005

Last updated

Oct 25, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

All facility ownership & control disclosures 4

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 5

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Community Memorial Hospital

  • Rural Health Clinic/Center
  • Waterville, NY
  • NPI 1477080604

  Corporate Director

  CMS ownership
• Community Memorial Hospital

  • Rural Health Clinic/Center
  • Hamilton, NY
  • NPI 1609303692

  Corporate Director

  CMS ownership
• Community Memorial Hospital

  • Rural Health Clinic/Center
  • Morrisville, NY
  • NPI 1902333149

  Corporate Director

  CMS ownership
• Community Memorial Hospital

  • Internal Medicine Physician
  • Hamilton, NY
  • NPI 1932100393

  Corporate Director

  CMS ownership
• Crouse Health Hospital, Inc.

  • General Acute Care Hospital
  • Syracuse, NY
  • NPI 1033107743

  Corporate Officer, Operational/Managerial Control

  CMS ownership

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Crouse Medical Practice, PLLC

  • Internal Medicine Physician
  • Syracuse, NY
  • NPI 1922321934
  Medicare reassignment NPD
• Crouse Medical Practice PLLC

  • Cardiovascular Disease Physician
  • Syracuse, NY
  • NPI 1639559305
  Authorized official Same address or phone
• Crouse Medical Practice PLLC

  • Physician Assistant
  • East Syracuse, NY
  • NPI 1386990638
  NPD
• Internist Associates of Central New York, PC

  • Clinical Medical Laboratory
  • Syracuse, NY
  • NPI 1063481067
  NPD
• Crouse Medical Practice PLLC

  dba Internist Associates of Central New York

  • Non-Pharmacy Dispensing Site
  • Syracuse, NY
  • NPI 1568874881
  NPD (past)

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

{
    "created_epoch": "1118793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477353600000",
    "number": "1023013208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "739 IRVING AVE",
            "address_2": "STE 200",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132101668",
            "telephone_number": "315-479-5070",
            "fax_number": "315-701-2520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "739 IRVING AVE",
            "address_2": "STE 200",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132101668",
            "telephone_number": "315-479-5070",
            "fax_number": "315-701-2520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRONENBERG",
        "first_name": "SETH",
        "middle_name": "EVAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-15",
        "last_updated": "2016-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "213129",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02160263",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tori Kroll, LMSW
• Olivia Lee Krom, LMSW
• Michelle Kromas
• Kim Kromer Murphy
• Paul Kronenberg, M.D.
• Richard M Kronhaus, M.D.
• Maggie Kathleen Krywalski, FNP
• Steven Kuang, MD
• Abigayle Kubik
• Rachael Kuch-Cecconi, M.D.

• Internal Medicine Physician in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.