Individual provider Active NPI

Biby E Rajan-George, MD

  • Internal Medicine Physician
  • Syracuse, NY
National Provider Identifier
1205824976
Registry record updated Mar 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
233105 Issued in NY
Practice address
1000 E Genesee St
Suite 500
Syracuse, NY 13210-1892
Phone
(315) 471-8388
Fax
(315) 471-8019
NPI assigned
Oct 7, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2014

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 233105 NY Primary

Addresses

Primary practice location

1000 E Genesee St
Suite 500
Syracuse, NY 13210-1892

Mailing address

1000 E Genesee St
Suite 500
Syracuse, NY 13210-1892
Phone (315) 471-8388

Other identifiers 1

IdentifierTypeStateIssuer
02619547MedicaidNY

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
I20040812001144 NY Practitioner - Internal Medicine 4183696776 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Biby Rajan-George MD PLLCGroup PAC ID 7517358195, 4 clinicians

Practice addresses (Care Compare)

4000 Medical Ctr Dr
Suite 403
Fayetteville, NY 13066-6624
Phone (315) 637-2665

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mark a McConn MD PLLC CurrentSince Dec 1, 2021 Accepting new patients
Biby Rajan-George M.D PLLC Internal Medicine CurrentSince Dec 1, 2021 Accepting new patients

Locations

4000 Medical Center Dr
Ste 403
Fayetteville, NY 13066
Phone (315) 329-4975

4000 Medical Center Dr
Fayetteville, NY 13066
Phone (315) 637-2665

5793 Widewaters Pkwy
Ste 203
Syracuse, NY 13214

Interoperability endpoints

  • Direct secure messaging: biby.rajan-george.1@13034.direct.athenahealth.com
  • Direct secure messaging: rajanb@hiemail.healtheconnections.org

Organizations & group practices 2

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 2

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": "1128643200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395360000000",
    "number": "1205824976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 E GENESEE ST",
            "address_2": "SUITE 500",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132101892",
            "telephone_number": "315-471-8388",
            "fax_number": "315-471-8019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E GENESEE ST",
            "address_2": "SUITE 500",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132101892",
            "telephone_number": "315-471-8388",
            "fax_number": "315-471-8019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAJAN-GEORGE",
        "first_name": "BIBY",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-07",
        "last_updated": "2014-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "233105",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02619547",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

Verify at the official NPI Registry.