Individual provider Active NPI

Jane Kou, MD

  • Psychiatry Physician
  • Syracuse, NY
National Provider Identifier
1144337163
Registry record updated Jul 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
163572 Issued in NY
Practice address
610 S Salina St
Syracuse, NY 13202-3524
Phone
(315) 421-7479
Fax
(315) 473-9853
NPI assigned
Aug 24, 2006
Last updated
Jul 14, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 163572 NY Primary
Geriatric Psychiatry Physician 2084P0805X 163572 NY

Addresses

Primary practice location

610 S Salina St
Syracuse, NY 13202-3524

Mailing address

610 S Salina St
Syracuse, NY 13202-3524
Phone (315) 421-7479

Other identifiers 1

IdentifierTypeStateIssuer
01377100MedicaidNY

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
I20101008000853 NY Practitioner - Psychiatry 3678765682 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
163572NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Niagara Falls Memorial Medical Center CurrentSince Oct 1, 2018 Accepting new patients
Niagara Falls Memorial Medical Center CurrentSince Oct 1, 2018 Accepting new patients
St Josephs Hospital Health Center CurrentSince Oct 1, 2018 Accepting new patients
St Joseph's Hospital Health Center Psychiatry CurrentSince Oct 1, 2018 Accepting new patients
St Josephs Medical PC CurrentSince Oct 1, 2018 Accepting new patients
North Medical PC Current Accepting new patients
Niagara Falls Memorial Medical Center CurrentSince Oct 1, 2018 Accepting new patients

Locations

5100 W Taft Rd
Ste 2T
Liverpool, NY 13088
Phone (315) 744-1592

620 10th St
Ste 704
Niagara Falls, NY 14301
Phone (716) 278-4402

621 10th St
North Falls, NY 14301
Phone (716) 278-4000

301 Prospect Ave
Syracuse, NY 13203
Phone (315) 448-5111

301 Prospect Ave
Ofc
Syracuse, NY 13203
Phone (315) 448-2876

301 Prospect Ave
Ste 706
Syracuse, NY 13203
Phone (315) 703-5200

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/3c975af8-28ae-4d97-adec-66228015b5a8/
  • Direct secure messaging: jkou1@hiemail.healtheconnections.org

Organizations & group practices 8

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": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1279065600000",
    "number": "1144337163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 S SALINA ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132023524",
            "telephone_number": "315-421-7479",
            "fax_number": "315-473-9853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 S SALINA ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132023524",
            "telephone_number": "315-421-7479",
            "fax_number": "315-473-9853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOU",
        "first_name": "JANE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-24",
        "last_updated": "2010-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "163572",
            "primary": true
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "NY",
            "license": "163572",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01377100",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

Verify at the official NPI Registry.