Active NPI
Diego Villamizar, M.D.
- Anesthesiology Physician
- Syracuse, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 30366701
- Practice address
- 736 Irving Ave
Syracuse, NY 13210-1687 - Phone
- (772) 532-0240
- NPI assigned
- May 4, 2016
- Last updated
- Jul 9, 2020
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 30366701 | NY | Primary |
Addresses
Primary practice location
736 Irving Ave
Syracuse, NY 13210-1687
Mailing address
736 Irving Ave
Syracuse, NY 13210-1687
Other names 1
- Dr. Diego Alejandro Villamizar I
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
- Anesthesiology
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
260 Township Blvd
Suite 20
Camillus, NY 13031-1678
Phone (315) 708-0091
4900 Broad Rd
Syracuse, NY 13215-2265
Phone (315) 498-6200
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30366701 | NY | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Agcny Physicians PLLC | Anesthesiology | Current | Accepting new patients |
| Syracuse Gastroenterological Associates PC | Anesthesiology | Current | Accepting new patients |
| Syracuse Gastroenterological Associates.PC | Current | Accepting new patients | |
| North American Partners in Anesthesia LLP | Anesthesiology | Current | Accepting new patients |
| Chag Anesthesia PC | Anesthesiology | Current | Accepting new patients |
| Syracuse Endoscopy Associates, LLC | Past | Accepting new patients |
Locations
7 Southwoods Blvd
Ste 4
Albany, NY 12211
260 Township Blvd
Ste 20
Camillus, NY 13031
Phone (315) 708-0091
5700 W Genesee St
Ste 11
Camillus, NY 13031
Phone (315) 701-9378
5000 Campuswood Dr
Ste 100
East Syracuse, NY 13057
Phone (315) 234-6687
5000 Campuswood Dr
Ste 200
East Syracuse, NY 13057
4309 Medical Center Dr
Fayetteville, NY 13066
Phone (315) 329-7300
10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091
68 S Service Rd
Ste 350
Melville, NY 11747
Phone (516) 945-3107
1510 Jericho Tpke
New Hyde Park, NY 11040
Phone (516) 216-5341
301 Prospect Ave
Syracuse, NY 13203
Phone (315) 448-5111
4900 Broad Rd
Syracuse, NY 13215
Phone (315) 492-5011
736 Irving Ave
Syracuse, NY 13210
Phone (315) 470-7111
739 Irving Ave
Ste 420
Syracuse, NY 13210
Phone (315) 470-7921
750 E Adams St
Syracuse, NY 13210
Phone (315) 464-4363
Interoperability endpoints
- dvillamizar51152@direct.upstate.edu
Organizations & group practices 6
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.
-
- Anesthesiology Physician
- Fayetteville, NY
- NPI 1033497136
-
- Anesthesiology Physician
- Syracuse, NY
- NPI 1740279017
-
- Anesthesiology Physician
- Melville, NY
- NPI 1649264706
-
- Gastroenterology Physician
- East Syracuse, NY
- NPI 1619947843
-
- Anesthesiology Physician
- East Syracuse, NY
- NPI 1417326661
-
- Endoscopy Clinic/Center
- East Syracuse, NY
- NPI 1073587416
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Hamilton, NY
- NPI 1992707608
-
- 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": "1462320000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594252800000",
"number": "1083069496",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "736 IRVING AVE",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132101687"
},
{
"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": "772-532-0240"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VILLAMIZAR",
"first_name": "DIEGO",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-05-04",
"last_updated": "2020-07-09",
"certification_date": "2020-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NY",
"license": "30366701",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DIEGO",
"last_name": "VILLAMIZAR",
"middle_name": "ALEJANDRO",
"prefix": "DR.",
"suffix": "I",
"credential": "MD",
"code": "2",
"type": "Professional Name"
}
]
}
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 Jul 9, 2020; 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.