Individual provider Active NPI

Dennis W Reedy, MD

  • Gastroenterology Physician
  • East Syracuse, NY
National Provider Identifier
1285614404
Registry record updated Jul 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
1954661 Issued in NY
Practice address
5000 Campuswood Drive
Suite 200
East Syracuse, NY 13057
Phone
(315) 234-6677
Fax
(315) 234-4808
NPI assigned
Jan 23, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 1954661 NY Primary

Addresses

Primary practice location

5000 Campuswood Drive
Suite 200
East Syracuse, NY 13057

Mailing address

5000 Campuswood Drive
Suite 200
East Syracuse, NY 13057
Phone (315) 234-6677

Other identifiers 1

IdentifierTypeStateIssuer
01744729MedicaidNY

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
I20110120000095 NY Practitioner - GastroenterologyPractitioner - Internal Medicine 7618945924 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
State University of Ny Upstate Medical University, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Syracuse Gastroenterological Associates.PCGroup PAC ID 6305814716, 35 clinicians

Practice addresses (Care Compare)

5000 Campuswood Dr
Suite 200
East Syracuse, NY 13057-1268
Phone (315) 234-6677

5415 W Genesee St
Suite 203
Camillus, NY 13031-2162
Phone (315) 324-6677

739 Irving Ave
Suite 430
Syracuse, NY 13210-1653
Phone (315) 234-6677

Hospital & facility affiliations

  • Crouse Hospital Hospital, Syracuse, NY, CCN 330203
  • St Joseph'S Hospital Health Center Hospital, Syracuse, NY, CCN 330140
  • University Hospital S U N Y Health Science Center Hospital, Syracuse, NY, CCN 330241
  • Oswego Hospital Hospital, Oswego, NY, CCN 330218
  • Samaritan Medical Center Hospital, Watertown, NY, CCN 330157

Merit-based Incentive Payment System (MIPS)

Final score
98.09 of 100Reported as group
Quality
97.07
Promoting interoperability
99
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy319
Upper gastrointestinal (GI) endoscopy for acid reflux233

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1954661NYMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Syracuse Gastroenterological Associates.PC Gastroenterology CurrentSince Aug 31, 1998 Accepting new patients
Syracuse Gastroenterological Associates PC CurrentSince Aug 31, 1998 Accepting new patients
Syracuse Endoscopy Associates, LLC CurrentSince Jan 17, 2005 Accepting new patients

Locations

5415 W Genesee St
Ste 203
Camillus, NY 13031
Phone (315) 324-6677

3045 John Trush Jr Blvd
Cazenovia, NY 13035
Phone (315) 824-7040

5000 Campuswood Dr
Ste 200
East Syracuse, NY 13057

8100 Oswego Rd
Ste 140
Liverpool, NY 13090
Phone (315) 470-7364

1001 W Fayette St
Ste 400
Syracuse, NY 13204
Phone (315) 472-1488

739 Irving Ave
Ste 400
Syracuse, NY 13210
Phone (315) 234-4815

739 Irving Ave
Ste 430
Syracuse, NY 13210

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 and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721692800000",
    "number": "1285614404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 CAMPUSWOOD DRIVE",
            "address_2": "SUITE 200",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "13057",
            "telephone_number": "315-234-6677",
            "fax_number": "315-234-4808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 CAMPUSWOOD DRIVE",
            "address_2": "SUITE 200",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "13057",
            "telephone_number": "315-234-6677",
            "fax_number": "315-234-4808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REEDY",
        "first_name": "DENNIS",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-23",
        "last_updated": "2024-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "1954661",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01744729",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Syracuse, NY

Sources for this page

Verify at the official NPI Registry.