Individual provider Active NPI

Yola Augustin, MD

  • Internal Medicine Physician
  • Syracuse, NY
National Provider Identifier
1144282278
Registry record updated Apr 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
222318 Issued in NY
Practice address
311 Green St
Syracuse, NY 13203-2911
Phone
(315) 425-1431
NPI assigned
Apr 4, 2006
Last updated
Apr 27, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2021

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 222318 NY Primary

Addresses

Primary practice location

311 Green St
Syracuse, NY 13203-2911

Mailing address

311 Green St
Syracuse, NY 13203-2911
Phone (315) 425-1431

Other practice location 1

819 S Salina St
Syracuse, NY 13202-3527
Phone (315) 476-7921

Other identifiers 1

IdentifierTypeStateIssuer
02377484MedicaidNY

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
I20100909000188 NY Practitioner - Internal Medicine 0840315297 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ted J Triana DO PCGroup PAC ID 1254424211, 5 clinicians

Practice addresses (Care Compare)

511 S Main St
North Syracuse, NY 13212-2813
Phone (315) 452-9977

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Syracuse Community Health Center CurrentSince Dec 2, 2002 Accepting new patients
Syracuse Community Health Center, Inc. CurrentSince Dec 2, 2002 Accepting new patients
Ted J. Triana, DO, PC CurrentSince Apr 25, 2021 Accepting new patients
Ted J. Triana, DO PC Internal Medicine CurrentSince Mar 1, 2017 Accepting new patients

Locations

138 E Genesee St
Baldwinsville, NY 13027
Phone (315) 635-2333

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

311 Green St
Syracuse, NY 13203
Phone (315) 425-1431

511 S Main St
Syracuse, NY 13212
Phone (315) 425-1431

819 S Salina St
Syracuse, NY 13202

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: yolaa@compassionatefamilymedicine.medentdirect.com

Organizations & group practices 4

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": "1144108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619481600000",
    "number": "1144282278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 GREEN ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132032911",
            "telephone_number": "315-425-1431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 GREEN ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132032911",
            "telephone_number": "315-425-1431"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "819 S Salina St",
            "address_purpose": "LOCATION",
            "city": "Syracuse",
            "state": "NY",
            "postal_code": "132023527",
            "country_code": "US",
            "telephone_number": "315-476-7921",
            "fax_number": "315-475-1448",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AUGUSTIN",
        "first_name": "YOLA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-04",
        "last_updated": "2021-04-27",
        "certification_date": "2021-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "222318",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02377484",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

Verify at the official NPI Registry.