Individual provider Active NPI

Todd R. Lentz, M.D.

  • Internal Medicine Physician
  • Camillus, NY
National Provider Identifier
1124008347
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
232449-1 Issued in NY
Practice address
5417 W Genesee St Ste 3
Camillus, NY 13031-2177
Phone
(315) 476-2323
Fax
(315) 476-2438
NPI assigned
Jan 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 232449-1 NY Primary

Addresses

Primary practice location

5417 W Genesee St Ste 3
Camillus, NY 13031-2177

Mailing address

1001 W Fayette St
Suite 400
Syracuse, NY 13204-2859
Phone (315) 479-5070

Other identifiers 1

IdentifierTypeStateIssuer
02583773MedicaidNY

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
I20040903001079 NY Practitioner - Internal Medicine 3678549243 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
State University of Ny Upstate Medical University, 2001
Medicare assignment
May accept Medicare assignment
Group practices
Select PT, OT and SLP Rehabilitation Ny, PLLCGroup PAC ID 3870986656, 261 clinicians
Crouse Medical Practice PLLCGroup PAC ID 8426189622, 187 clinicians
Syracuse Home AssociationGroup PAC ID 2769477157, 3 clinicians

Practice addresses (Care Compare)

125 Harry Howard Ave
Hudson, NY 12534-1601
Phone (800) 479-7695

5417 W Genesee St
Camillus, NY 13031-2176
Phone (315) 476-2323

736 Irving Ave
Syracuse, NY 13210-1687
Phone (315) 470-7111

7740 Meigs Rd
Baldwinsville, NY 13027-9757
Phone (315) 638-2521

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Liverpool, NY, CCN 337255
  • Hospice of Central New York Hospice, Liverpool, NY, CCN 331511
  • Crouse Hospital Hospital, Syracuse, NY, CCN 330203
  • University Hospital S U N Y Health Science Center Hospital, Syracuse, NY, CCN 330241
  • Syracuse Home Association Nursing home, Baldwinsville, NY, CCN 335713

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
232449-1NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Crouse Medical Practice, PLLC Internal Medicine CurrentSince Apr 1, 2013 Accepting new patients
Crouse Medical Practice PLLC CurrentSince Apr 1, 2013 Accepting new patients
Syracuse Home Association CurrentSince Apr 1, 2023 Accepting new patients
Crouse Medical Practice PLLC Past Accepting new patients

Locations

7740 Meigs Rd
Baldwinsville, NY 13027
Phone (315) 635-2525

5417 W Genesee St
Ste 3
Camillus, NY 13031
Phone (315) 470-7409

5417 W Genesee St
Ste 1
Camillus, NY 13031
Phone (315) 432-4900

739 Irving Ave
Ste 200
Syracuse, NY 13210
Phone (315) 479-5070

1001 W Fayette St
Ste 400
Syracuse, NY 13204
Phone (315) 472-1488

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

Interoperability endpoints

  • Direct secure messaging: tlentz@crousemed.medentdirect.com
  • Direct secure messaging: toddlentz@hiemail.healtheconnections.org

Organizations & group practices 5

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.

Hospital & facility affiliations 5

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": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756771200000",
    "number": "1124008347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 W FAYETTE ST",
            "address_2": "SUITE 400",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132042859",
            "telephone_number": "315-479-5070",
            "fax_number": "315-701-2525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5417 W GENESEE ST STE 3",
            "city": "CAMILLUS",
            "state": "NY",
            "postal_code": "130312177",
            "telephone_number": "315-476-2323",
            "fax_number": "315-476-2438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LENTZ",
        "first_name": "TODD",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-23",
        "last_updated": "2025-09-02",
        "certification_date": "2025-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "232449-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02583773",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Camillus, NY

Sources for this page

Verify at the official NPI Registry.