Individual provider Active NPI

Salvatore E Bologna, CRNA

  • Certified Registered Nurse Anesthetist
  • Syracuse, NY
National Provider Identifier
1164529129
Registry record updated Apr 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
313410 Issued in NY
Practice address
736 Irving Ave
Syracuse, NY 13210-1602
Phone
(315) 470-7111
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X ARNP1303222 FL
Certified Registered Nurse Anesthetist 367500000X 313410 NY Primary

Addresses

Primary practice location

736 Irving Ave
Syracuse, NY 13210-1602

Mailing address

PO Box 410944
Melbourne, FL 32941-0944
Phone (561) 762-2823

Other practice location 1

8040 N Wickham Rd
Melbourne, FL 32940-8298
Phone (561) 762-2823

Other identifiers 2

IdentifierTypeStateIssuer
P00646402OtherFLRAILROAD MEIDCARE
034206800MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, GA, NY, MI, VA, NC6 enrollments

Enrollment records 6

Enrollment IDStateProvider typePAC IDDetails
I20070425000006 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 2769587484 Reassigns benefits to 2 organizations
Practice locations: Melbourne, FL; Fort Pierce, FL
I20170714001933 GA Practitioner - Certified Registered Nurse Anesthetist (Crna) 2769587484 Reassigns benefits to 1 organization
I20181004001259 NY Practitioner - Certified Registered Nurse Anesthetist (Crna) 2769587484 Reassigns benefits to 1 organization
I20240731001624 MI Practitioner - Certified Registered Nurse Anesthetist (Crna) 2769587484 Reassigns benefits to 1 organization
I20250409000072 VA Practitioner - Certified Registered Nurse Anesthetist (Crna) 2769587484 Reassigns benefits to 2 organizations
I20250626003776 NC Practitioner - Certified Registered Nurse Anesthetist (Crna) 2769587484 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North American Partners in Anesthesia LLPGroup PAC ID 7719885771, 427 clinicians
Chatham Hospital IncGroup PAC ID 4284807868, 70 clinicians

Practice addresses (Care Compare)

321 Genesee St
Oneida, NY 13421-2611
Phone (315) 363-6000

475 Progress Blvd
Siler City, NC 27344-6787
Phone (919) 799-4000

Hospital & facility affiliations

  • Oneida Health Hospital Hospital, Oneida, NY, CCN 330115
  • Crouse Hospital Hospital, Syracuse, NY, CCN 330203
  • Chatham Hospital Inc Hospital, Siler City, NC, CCN 341311

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Anesthesia Physician Solutions of North Florida, LLC CurrentSince Jan 2, 2019 Accepting new patients
Valley Health Anesthesia Services, LLC CurrentSince Jan 1, 2025 Accepting new patients
Chatham Hospital, Inc. CurrentSince Apr 28, 2025 Accepting new patients
Kalamazoo Anesthesiology P C CurrentSince Aug 20, 2024 Accepting new patients
Chatham Hospital Inc Current Accepting new patients
North American Partners in Anesthesia LLP CurrentSince Apr 25, 2024 Accepting new patients
Anesthesia Consultants of Savannah, PC CurrentSince May 15, 2017 Accepting new patients
Sunshine State Anesthesia Partners LLC CurrentSince Jun 1, 2021 Accepting new patients
Anesthesia Physician Solutions of North Florida, LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 2, 2019 Accepting new patients
The Stingl Family Foundation, Inc PastSince May 7, 2016 Accepting new patients
Pinnacle Anesthesia PL Past Accepting new patients
Florida Anesthesiology & Pain Clinic PA Past Accepting new patients
Albert Cohen MD PA Past Accepting new patients

Locations

2020 59th St W
Bradenton, FL 34209
Phone (813) 798-6303

14000 Fivay Rd
Hudson, FL 34667
Phone (727) 819-2929

325 Cypress Pkwy
Poinciana, FL 34759
Phone (407) 530-2000

4016 Sun City Center Blvd
Sun City Ctr, FL 33573
Phone (813) 634-0145

9330 State Road 54
Trinity, FL 34655
Phone (727) 834-4000

4700 Waters Ave
Savannah, GA 31404
Phone (912) 273-1100

900 Peeler St
Kalamazoo, MI 49008
Phone (269) 345-8618

5221 Paramount Pkwy
Ste 440
Morrisville, NC 27560
Phone (984) 974-1183

475 Progress Blvd
Siler City, NC 27344
Phone (919) 799-4000

7 Southwoods Blvd
Ste 4
Albany, NY 12211

3122 Union St
Ste 1B
Flushing, NY 11354
Phone (718) 968-7171

1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796

1510 Jericho Tpke
New Hyde Park, NY 11040
Phone (516) 216-5341

321 Genesee St
Oneida, NY 13421
Phone (315) 361-2020

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

174 Botanical Blvd
Winchester, VA 22603
Phone (540) 536-5900

1840 Amherst St
Winchester, VA 22601
Phone (540) 536-8700

220 Campus Blvd
Ste 320
Winchester, VA 22601

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 4

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714003200000",
    "number": "1164529129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 410944",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329410944",
            "telephone_number": "561-762-2823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "736 IRVING AVE",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132101602",
            "telephone_number": "315-470-7111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8040 N Wickham Rd",
            "address_purpose": "LOCATION",
            "city": "Melbourne",
            "state": "FL",
            "postal_code": "329408298",
            "country_code": "US",
            "telephone_number": "561-762-2823",
            "fax_number": "321-986-8618",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOLOGNA",
        "first_name": "SALVATORE",
        "middle_name": "E",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "ARNP1303222",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NY",
            "license": "313410",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEIDCARE",
            "identifier": "P00646402",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "034206800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.