Individual provider Active NPI

Ian Perry Laih

  • Physician Assistant
  • Syracuse, NY
National Provider Identifier
1114887171
Registry record updated Dec 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
034943 Issued in NY
Practice address
725 E Adams St
Syracuse, NY 13210-2576
Phone
(315) 464-4357
NPI assigned
Nov 13, 2025
Last updated
Dec 1, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 034943 NY Primary

Addresses

Primary practice location

725 E Adams St
Syracuse, NY 13210-2576

Mailing address

306 N McBride St Apt 3
Syracuse, NY 13203-2330

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260107003864 NY Practitioner - Physician Assistant 2264918473 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

251 Salina Meadows Pkwy
Suite 100
Syracuse, NY 13212-4551

725 E Adams St
Syracuse, NY 13210-2576

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
034943NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Suny Health Science Center at Syracuse Physician Assistant CurrentSince Dec 11, 2025 Accepting new patients
Suny Health Science Center at Syracuse CurrentSince Dec 11, 2025 Accepting new patients

Locations

725 E Adams St
Syracuse, NY 13210
Phone (315) 464-4357

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

750 E Adams St
Syracuse, NY 13210
Phone (315) 464-4363

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1762992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764547200000",
    "number": "1114887171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 N MCBRIDE ST APT 3",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132032330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 E ADAMS ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132102576",
            "telephone_number": "315-464-4357"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAIH",
        "first_name": "IAN",
        "middle_name": "PERRY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-11-13",
        "last_updated": "2025-12-01",
        "certification_date": "2025-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "034943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

Verify at the official NPI Registry.