Individual provider Active NPI

Jacob Thomas, MD

  • Pain Medicine (Anesthesiology) Physician
  • Syracuse, NY
National Provider Identifier
1063418440
Registry record updated Apr 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
199546 Issued in NY
Practice address
736 Irving Ave
Syracuse, NY 13210-1687
Phone
(315) 470-7828
Fax
(315) 470-5811
NPI assigned
Jun 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 199546 NY Primary
Anesthesiology Physician 207L00000X 199546 NY

Addresses

Primary practice location

736 Irving Ave
Syracuse, NY 13210-1687

Mailing address

PO Box 2005
East Syracuse, NY 13057-4505
Phone (315) 449-0513

Other practice location 1

17 Lansing St
Auburn, NY 13021-1983
Phone (315) 255-7011

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110114000830 NY Practitioner - Anesthesiology 8921996422 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Joseph'S Physician Health PCGroup PAC ID 9436041431, 125 clinicians
Auburn Medical PCGroup PAC ID 4789780891, 26 clinicians
Camillus Anesthesia PLLCGroup PAC ID 5890195010, 2 clinicians

Practice addresses (Care Compare)

10 -24 Mitchell Ave
Binghamton, NY 13903-1617
Phone (607) 762-3131

104 Union Ave
806 807
Syracuse, NY 13203-1843
Phone (315) 422-4442

17 Lansing St
Auburn, NY 13021-1983
Phone (315) 255-7011

33 -57 Harrison St
Johnson City, NY 13790-2107
Phone (607) 763-6101

54 Main St
Candor, NY 13743-1619
Phone (607) 659-7272

5700 W Genesee St
Suite 11
Camillus, NY 13031-3205
Phone (315) 701-9378

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.44 of 100Reported as group
Quality
89.84
Promoting interoperability
100
Improvement activities
40
Cost
78.28

Merit-based Incentive Payment System (MIPS)

Final score
98.09 of 100Reported as group
Quality
97.07
Promoting interoperability
99
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
199546NYMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North American Partners in Anesthesia LLP Anesthesiology CurrentSince Mar 1, 2021 Accepting new patients
Syracuse Gastroenterological Associates.PC Current Accepting new patients
Digestive Disease Center of Central New York, LLC Current Accepting new patients
United Health Services Hospitals, Inc. CurrentSince Apr 24, 2025 Accepting new patients
Cortland ENT, PC CurrentSince Sep 1, 2025 Accepting new patients
Camillus Anesthesia PLLC Anesthesiology CurrentSince Jun 1, 2021 Accepting new patients
Auburn Medical PC Anesthesiology CurrentSince Dec 30, 2025 Accepting new patients
St. Joseph'S Physician Health, P.C. Anesthesiology CurrentSince Oct 1, 2024 Accepting new patients
Gastroenterology & Hepatology of Central New York, PC Anesthesiology CurrentSince Aug 1, 2022 Accepting new patients
West ASC, LLC PastSince May 20, 2022 Accepting new patients
Anesthesia Affiliate PC Anesthesiology PastSince Feb 15, 2018 Accepting new patients
Associates for Women'S Medicine PLLC PastSince Feb 13, 2016 Accepting new patients

Locations

7 Southwoods Blvd
Ste 4
Albany, NY 12211

33 Lewis Rd
Fl 2
Binghamton, NY 13905
Phone (607) 729-8156

5700 W Genesee St
Ste 11
Camillus, NY 13031
Phone (315) 701-9378

64 Pomeroy St
Cortland, NY 13045
Phone (607) 662-4521

5000 Brittonfield Pkwy
Ste A128
East Syracuse, NY 13057
Phone (315) 446-4000

5000 Campuswood Dr
Ste 100
East Syracuse, NY 13057
Phone (315) 234-6687

5000 Campuswood Dr
Ste 200
East Syracuse, NY 13057

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

5112 W Taft Rd
Ste H
Liverpool, NY 13088
Phone (315) 452-3235

1510 Jericho Tpke
New Hyde Park, NY 11040
Phone (516) 216-5341

17 Lansing St
Sennett, NY 13021
Phone (315) 255-7011

736 Irving Ave
Syracuse, NY 13210
Phone (315) 470-7111

1226 E Water St
Syracuse, NY 13210
Phone (315) 423-7226

301 Prospect Ave
Syracuse, NY 13203
Phone (315) 448-5111

739 Irving Ave
Ste 420
Syracuse, NY 13210
Phone (315) 470-7921

104 Union Ave
Syracuse, NY 13203
Phone (315) 422-4442

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775433600000",
    "number": "1063418440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2005",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130574505",
            "telephone_number": "315-449-0513",
            "fax_number": "315-445-2936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "736 IRVING AVE",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132101687",
            "telephone_number": "315-470-7828",
            "fax_number": "315-470-5811"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17 Lansing St",
            "address_purpose": "LOCATION",
            "city": "Auburn",
            "state": "NY",
            "postal_code": "130211983",
            "country_code": "US",
            "telephone_number": "315-255-7011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "JACOB",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-22",
        "last_updated": "2026-04-06",
        "certification_date": "2026-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NY",
            "license": "199546",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "199546",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

Verify at the official NPI Registry.