Siva V Dantu, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

148940 Issued in FL

Practice address

Glacier Creek Office Park-BLDG II
6711 Towpath Rd., Suite 175
East Syracuse, NY 13057-9510

Phone

(315) 458-2211

Fax

(315) 452-9025

NPI assigned

May 2, 2016

Last updated

Nov 20, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Colorectal Surgery (Proctology)

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Colon Rectal Associates of Central New York LLPGroup PAC ID 3577536531, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Crouse Hospital Hospital, Syracuse, NY, CCN 330203
• St Joseph's Hospital Health Center Hospital, Syracuse, NY, CCN 330140

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: drdantu@colonrectal.medentdirect.com

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.

• Colon Rectal Associates of Central New York, LLP

  • Surgery Physician
  • East Syracuse, NY
  • NPI 1730248022
  Medicare reassignment Care Compare group
• Crouse Health Hospital, Inc.

  • General Acute Care Hospital
  • Syracuse, NY
  • NPI 1033107743
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Crouse Health Hospital, Inc.

  • General Acute Care Hospital
  • Syracuse, NY
  • NPI 1033107743
  Care Compare affiliation
• St Josephs Hospital Health Center

  • General Acute Care Hospital
  • Syracuse, NY
  • NPI 1508815333
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1462147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700438400000",
    "number": "1174978787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "GLACIER CREEK OFFICE PARK-BLDG II",
            "address_2": "6711 TOWPATH RD., SUITE 175",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130579510",
            "telephone_number": "315-458-2211",
            "fax_number": "315-452-9025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "GLACIER CREEK OFFICE PARK-BLDG II",
            "address_2": "6711 TOWPATH RD., SUITE 175",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130579510",
            "telephone_number": "315-458-2211",
            "fax_number": "315-452-9025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANTU",
        "first_name": "SIVA",
        "middle_name": "V",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-05-02",
        "last_updated": "2023-11-20",
        "certification_date": "2021-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "148940",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret D'Eredita, MS
• Nelida Maria Da Graca
• Shaina Elizabeth Daley, PHARM.D. R.PH
• Timothy A Damron, MD
• Stacy Michele Daniel, LICENSED OPTICIAN
• Rhonda Lee Dantuono, MS SPECIAL ED.
• Kourtney K Darrow, NP
• David M. Girardi, OD, LLC
• David Torrales, OD, PLLC
• Christopher Hugh Davis

• Surgery Physician in East Syracuse, NY
• Providers in East Syracuse, NY by specialty
• Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2023; 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.

Verify at the official NPI Registry.