Individual provider Active NPI

Amy L Reynders, MD

  • Otolaryngology Physician
  • De Witt, NY
National Provider Identifier
1114959343
Registry record updated Apr 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
240306 Issued in NY
Practice address
3906 East Genesee Street
Dewitt, NY 13214-1934
Phone
(315) 251-1093
Fax
(315) 251-1571
NPI assigned
Jul 7, 2006
Last updated
Apr 23, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 240306 NY Primary

Addresses

Primary practice location

3906 East Genesee Street
Dewitt, NY 13214-1934

Mailing address

3906 East Genesee Street
Dewitt, NY 13214-1934
Phone (315) 251-1093

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
I20060817000428 NY Practitioner - Otolaryngology 9931102662 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Syracuse ENT Surgeons PLLCGroup PAC ID 4486553625, 9 clinicians

Practice addresses (Care Compare)

3906 E Genesee St
Syracuse, NY 13214-1934
Phone (315) 251-1093

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.19 of 100Reported as group
Quality
83.06
Promoting interoperability
99
Improvement activities
40
Cost
78.43

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Syracuse ENT Surgeons PLLC Otolaryngology CurrentSince Aug 1, 2006 Accepting new patients

Locations

3906 E Genesee St
Syracuse, NY 13214
Phone (315) 251-1093

Interoperability endpoints

  • Direct secure messaging: drareynders@syrentsurgeons.medentdirect.com

Organizations & group practices 1

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.

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": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208908800000",
    "number": "1114959343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3906 EAST GENESEE STREET",
            "city": "DEWITT",
            "state": "NY",
            "postal_code": "132141934",
            "telephone_number": "315-251-1093",
            "fax_number": "315-251-1571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3906 EAST GENESEE STREET",
            "city": "DEWITT",
            "state": "NY",
            "postal_code": "132141934",
            "telephone_number": "315-251-1093",
            "fax_number": "315-251-1571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYNDERS",
        "first_name": "AMY",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2008-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NY",
            "license": "240306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in De Witt, NY

Sources for this page

Verify at the official NPI Registry.