Individual provider Active NPI

Kristopher Mark Paolino, M.D.

  • Infectious Disease Physician
  • Syracuse, NY
National Provider Identifier
1205952280
Registry record updated Jan 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
283839 Issued in NY
Practice address
725 Irving Ave Ste 311
Syracuse, NY 13210-1685
Phone
(315) 464-9360
NPI assigned
Mar 22, 2007
Last updated
Jan 23, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 283839 NY Primary

Addresses

Primary practice location

725 Irving Ave Ste 311
Syracuse, NY 13210-1685

Mailing address

725 Irving Ave Ste 311
Syracuse, NY 13210-1685
Phone (240) 449-5247

Other practice location 1

WRAMC Building 2, Department of Medicine
6900 Georgia Ave., NW
Washington, DC 20307-0001
Phone (202) 782-1774

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
I20160927000234 NY Practitioner - Infectious DiseasePractitioner - Internal Medicine 4880919398 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
State University of New York at Buffalo School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

725 Irving Ave
Suite 314
Syracuse, NY 13210-1685
Phone (315) 464-9360

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.56 of 100Reported as group
Quality
71.97
Promoting interoperability
100
Improvement activities
40
Cost
75.04

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
283839NYMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Department of Medicine Medical Serv GRP at Suny HLTH Sci Ctr Syr in Infectious Disease CurrentSince Aug 1, 2016 Accepting new patients
Department of Medicine Medical Service Group CurrentSince Aug 1, 2016 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

251 Salina Meadows Pkwy
Ste 100
Syracuse, NY 13212
Phone (315) 464-2000

725 Irving Ave
Ste 311
Syracuse, NY 13210
Phone (315) 464-5533

725 Irving Ave
Ste 314
Syracuse, NY 13210
Phone (315) 424-0151

750 E Adams St
Syracuse, NY 13210
Phone (315) 464-4363

Interoperability endpoints

  • Direct secure messaging: kpaolino60066@direct.upstate.edu

Organizations & group practices 3

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.

Hospital & facility affiliations 3

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": "1174521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516665600000",
    "number": "1205952280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 IRVING AVE STE 311",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132101685",
            "telephone_number": "240-449-5247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 IRVING AVE STE 311",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132101685",
            "telephone_number": "315-464-9360"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "WRAMC Building 2, Department of Medicine",
            "address_2": "6900 Georgia Ave., NW",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "203070001",
            "country_code": "US",
            "telephone_number": "202-782-1774",
            "fax_number": "202-782-5183",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAOLINO",
        "first_name": "KRISTOPHER",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-22",
        "last_updated": "2018-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NY",
            "license": "283839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

Verify at the official NPI Registry.