Active NPI
Dennis E. Resetarits, M.D.
- Specialist
- Camillus, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 155869
- Practice address
- 5700 W Genesee St
Ste. 201N
Camillus, NY 13031-3200 - Phone
- (315) 488-5588
- Fax
- (315) 488-2489
- NPI assigned
- Apr 19, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 155869 | NY | Primary |
Addresses
Primary practice location
5700 W Genesee St
Ste. 201N
Camillus, NY 13031-3200
Mailing address
4900 Broad Rd
BLDG N
Syracuse, NY 13215-2265
Phone (315) 488-5588
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01067385 | Medicaid | NY |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- State University of New York at Buffalo School of Medicine, 1976
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
250 Township Blvd
Suite 10
Camillus, NY 13031-1674
Phone (315) 928-7060
Hospital & facility affiliations
- University Hospital S U N Y Health Science Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 45 of 100
- Quality
- 90
- Improvement activities
- 0
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hernia repair - groin (open) | 1-10 |
| Mastectomy | 1-10 |
| Varicose vein removal | 129 |
| Removal of tissue | 50 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Upstate Community Medical, PC | Current | Accepting new patients | |
| Surgical Care East, PLLC | Specialist | Current | Accepting new patients |
| Associated Medical Professionals of Ny, PLLC | Past | Accepting new patients |
Locations
250 Township Blvd
#10
Camillus, NY 13031
Phone (315) 928-7060
4900 Broad Rd
Ste 4H
Syracuse, NY 13215
Phone (315) 492-5678
1001 W Fayette St
Ste 400
Syracuse, NY 13204
Phone (315) 472-1488
4900 Broad Rd
Bldg N
Syracuse, NY 13215
Phone (315) 487-8109
Interoperability endpoints
- dr.resetarits@surgcareeast.medentdirect.com
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.
-
- Specialist
- Camillus, NY
- NPI 1295167054
-
- Hospitalist Physician
- Syracuse, NY
- NPI 1689620163
-
- Urology Physician
- Fulton, NY
- NPI 1386062990
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Syracuse, NY
- NPI 1578554630
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1481846400000",
"number": "1285699546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4900 BROAD RD",
"address_2": "BLDG N",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132152265",
"telephone_number": "315-488-5588",
"fax_number": "315-488-2489"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5700 W GENESEE ST",
"address_2": "STE. 201N",
"city": "CAMILLUS",
"state": "NY",
"postal_code": "130313200",
"telephone_number": "315-488-5588",
"fax_number": "315-488-2489"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RESETARITS",
"first_name": "DENNIS",
"middle_name": "E.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-19",
"last_updated": "2016-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "155869",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01067385",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Camillus, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2016; 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.