Active NPI
Nevena Radonjic, M.D., PHD
- Psychiatry Physician
- Syracuse, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 291798
- Practice address
- 750 E Adams St
Syracuse, NY 13210-2306 - Phone
- (315) 464-3445
- NPI assigned
- Jun 12, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Psychiatry Physician | 2084P0800X | 291798 | NY | Primary |
Addresses
Primary practice location
750 E Adams St
Syracuse, NY 13210-2306
Mailing address
263 Farmington Ave
Farmington, CT 06032-1956
Other practice location 1
263 Farmington Ave
Farmington, CT 06032-1956
Phone (860) 679-2000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2037 Dream Catcher PLZ
Oneida, NY 13421-2729
2057 Dream Catcher Plaza
Oneida, NY 13421-2729
2057 Dream Catcher PLZ
Oneida, NY 13421-2729
713 Harrison St
BLDG 3
Syracuse, NY 13210-2305
Phone (315) 464-3265
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.28 of 100
- Quality
- 88.2
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 69.72
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psychiatry Faculty Practice, Inc. | Psychiatry | Current | Accepting new patients |
Locations
750 E Adams St
Syracuse, NY 13210
Phone (315) 464-4363
713 Harrison St
Syracuse, NY 13210
Phone (315) 464-3145
713 Harrison St
Bldg 3
Syracuse, NY 13210
Phone (315) 464-3265
Interoperability endpoints
- nradonjic83651@direct.upstate.edu
- nradonjic@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.
-
- Psychiatry Physician
- Syracuse, NY
- NPI 1881084820
-
- Federally Qualified Health Center (FQHC)
- Oneida, NY
- NPI 1831196716
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1402531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1574121600000",
"number": "1245644756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "263 FARMINGTON AVE",
"city": "FARMINGTON",
"state": "CT",
"postal_code": "060321956"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "750 E ADAMS ST",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132102306",
"telephone_number": "315-464-3445"
}
],
"practiceLocations": [
{
"address_1": "263 Farmington Ave",
"address_purpose": "LOCATION",
"city": "Farmington",
"state": "CT",
"postal_code": "060321956",
"country_code": "US",
"telephone_number": "860-679-2000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RADONJIC",
"first_name": "NEVENA",
"credential": "M.D., PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-06-12",
"last_updated": "2019-11-19",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "291798",
"primary": true
}
],
"identifiers": [],
"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 Nov 19, 2019; 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.