Individual provider Active NPI

Cheryl Dumond-Martinez, MD

  • Pediatrics Physician
  • Syracuse, NY
National Provider Identifier
1104273697
Registry record updated Jan 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
298696 Issued in NY
Practice address
4900 Broad Road
Ste 1D South
Syracuse, NY 13215
Phone
(315) 464-8224
Fax
(315) 464-2187
NPI assigned
May 16, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 298696 NY Primary

Addresses

Primary practice location

4900 Broad Road
Ste 1D South
Syracuse, NY 13215

Mailing address

4900 Broad Road
Ste 1D South
Syracuse, NY 13215
Phone (315) 464-8224

Other practice location 1

11100 Euclid Ave
Cleveland, OH 44106-1716
Phone (216) 844-1171

Other practice location 2

24 Groton Ave
Cortland, NY 13045
Phone (607) 753-3774

Other practice location 3

11100 Euclid Ave
Cleveland, OH 44106-1716
Phone (216) 844-1171

Other identifiers 1

IdentifierTypeStateIssuer
05858851MedicaidNY

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
I20200113000048 NY Practitioner - Pediatric Medicine 2163703455 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
298696NYMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
River View Pediatrics, PC CurrentSince Apr 14, 2024 Accepting new patients
University OB/GYN Associates CurrentSince Oct 31, 2025 Accepting new patients
Family Health Network of Central New York, Inc. PastSince Nov 1, 2019 Accepting new patients

Locations

909 W 1st St S
Fulton, NY 13069
Phone (315) 529-4987

4900 Broad Rd
Ste D
Syracuse, NY 13215
Phone (315) 464-8224

4900 Broad Rd
Ste 1D
Syracuse, NY 13215
Phone (315) 492-5660

725 Irving Ave
Ste 600
Syracuse, NY 13210
Phone (315) 464-5162

Interoperability endpoints

  • Direct secure messaging: cdumondmartinez21392@direct.upstate.edu

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1463356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769040000000",
    "number": "1104273697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 BROAD ROAD",
            "address_2": "STE 1D SOUTH",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "13215",
            "telephone_number": "315-464-8224",
            "fax_number": "315-464-2187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 BROAD ROAD",
            "address_2": "STE 1D SOUTH",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "13215",
            "telephone_number": "315-464-8224",
            "fax_number": "315-464-2187"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11100 Euclid Ave",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441061716",
            "country_code": "US",
            "telephone_number": "216-844-1171",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "24 Groton Ave",
            "address_purpose": "LOCATION",
            "city": "Cortland",
            "state": "NY",
            "postal_code": "13045",
            "country_code": "US",
            "telephone_number": "607-753-3774",
            "fax_number": "607-753-3947",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11100 Euclid Ave",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441061716",
            "country_code": "US",
            "telephone_number": "216-844-1171",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUMOND-MARTINEZ",
        "first_name": "CHERYL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-16",
        "last_updated": "2026-01-22",
        "certification_date": "2026-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "298696",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "05858851",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

Verify at the official NPI Registry.