Active NPI
Kimberly Marie Syres, MD
- Surgery Physician
- Johnson City, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 306911
- Practice address
- 33-57 Harrison St
Johnson City, NY 13790-2107 - Phone
- (607) 763-5494
- NPI assigned
- Feb 8, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Critical Care Physician | 2086S0102X | 036143309 | IL | |
| Surgical Critical Care Physician | 2086S0102X | 306911 | NY | |
| Surgery Physician | 208600000X | 306911 | NY | Primary |
Addresses
Primary practice location
33-57 Harrison St
Johnson City, NY 13790-2107
Mailing address
33 Lewis Rd
FL 2
Binghamton, NY 13905
Phone (607) 770-0025
Other practice location 1
1425 Portland Ave
Rochester, NY 14621-3011
Phone (585) 922-4518
Other practice location 2
9650 Gross Point Rd Ste 3900
Skokie, IL 60076
Phone (847) 570-1700
Other practice location 3
1415 Portland Ave Ste 245
Rochester, NY 14621-3022
Phone (585) 922-4518
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
- General Surgery
- Education
- University of Pittsburgh School of Medicine, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
30 Harrison St
Suite 455
Johnson City, NY 13790-2176
Phone (607) 763-8100
Hospital & facility affiliations
- United Health Services Hospitals, Inc
- Our Lady of Lourdes Memorial Hospital, Inc
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.62 of 100
- Quality
- 74.51
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hernia repair - groin (open) | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Removal of tissue | 20 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036143309 | IL | MD | Surgical Critical Care Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| United Medical Associates, P.C. | Current | Accepting new patients | |
| United Health Services Hospitals, Inc. | Current | Accepting new patients | |
| Rochester General Hospital | Surgery | Current | Accepting new patients |
| Rochester General Hospital | Current | Accepting new patients | |
| United Medical Associates PC | Current | Accepting new patients | |
| United Health Services Hospitals, Inc. | Past | Accepting new patients |
Locations
33 Lewis Rd
Fl 2
Binghamton, NY 13905
Phone (607) 729-8156
33-57 Harrison St
Johnson City, NY 13790
Phone (607) 763-6412
30 Harrison St
Ste 455
Johnson City, NY 13790
Phone (607) 763-8100
1415 Portland Ave
Ste 245
Rochester, NY 14621
Phone (585) 922-4715
100 Kings Hwy S
Rochester, NY 14617
Phone (585) 922-0553
1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122
Interoperability endpoints
- https://epicproxy.et1127.epichosted.com/FHIRproxy/api/FHIR/R4/
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 and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Johnson City, NY
- NPI 1962463851
-
- Family Medicine Physician
- Rochester, NY
- NPI 1356412712
-
- Clinic/Center
- Binghamton, NY
- NPI 1013972801
-
- Durable Medical Equipment & Medical Supplies
- Binghamton, NY
- NPI 1629252556
-
- General Acute Care Hospital
- Binghamton, NY
- NPI 1518998699
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Binghamton, NY
- NPI 1629087580
-
- General Acute Care Hospital
- Binghamton, NY
- NPI 1518998699
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1735862400000",
"number": "1114990348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33 LEWIS RD",
"address_2": "FL 2",
"city": "BINGHAMTON",
"state": "NY",
"postal_code": "13905",
"telephone_number": "607-770-0025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "33-57 HARRISON ST",
"city": "JOHNSON CITY",
"state": "NY",
"postal_code": "137902107",
"telephone_number": "607-763-5494"
}
],
"practiceLocations": [
{
"address_1": "1425 Portland Ave",
"address_purpose": "LOCATION",
"city": "Rochester",
"state": "NY",
"postal_code": "146213011",
"country_code": "US",
"telephone_number": "585-922-4518",
"fax_number": "585-922-3950",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9650 Gross Point Rd Ste 3900",
"address_purpose": "LOCATION",
"city": "Skokie",
"state": "IL",
"postal_code": "60076",
"country_code": "US",
"telephone_number": "847-570-1700",
"fax_number": "847-503-4371",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1415 Portland Ave Ste 245",
"address_purpose": "LOCATION",
"city": "Rochester",
"state": "NY",
"postal_code": "146213022",
"country_code": "US",
"telephone_number": "585-922-4518",
"fax_number": "585-922-3950",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SYRES",
"first_name": "KIMBERLY",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-08",
"last_updated": "2025-01-03",
"certification_date": "2025-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0102X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Critical Care",
"state": "IL",
"license": "036143309",
"primary": false
},
{
"code": "2086S0102X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Critical Care",
"state": "NY",
"license": "306911",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NY",
"license": "306911",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Johnson City, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2025; 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.