Active NPI
Tyler Christopher Greenfield, D.O.
- Pediatric Emergency Medicine (Pediatrics) Physician
- Syracuse, NY
National Provider Identifier
1306030606
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Emergency Medicine (Pediatrics) Physician
- License
- 252188
- Practice address
- 750 E Adams St
Upstate University Hospital
Syracuse, NY 13210-2342 - Phone
- (315) 464-4363
- Fax
- (315) 464-8690
- NPI assigned
- Aug 29, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Emergency Medicine (Pediatrics) Physician | 2080P0204X | OS015034 | PA | |
| Pediatric Emergency Medicine (Pediatrics) Physician | 2080P0204X | 252188 | NY | Primary |
Addresses
Primary practice location
750 E Adams St
Upstate University Hospital
Syracuse, NY 13210-2342
Mailing address
750 E Adams St
Upstate University Hospital
Syracuse, NY 13210-2342
Phone (315) 464-4363
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03600213 | 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 CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 95.37 of 100
- Quality
- 86.1
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 70.12
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Upstate Emergency Medicine, Inc | Current | Accepting new patients | |
| SCHC Pediatric Associates, LLC | Past | Accepting new patients | |
| St. Christopher'S Pediatric Urgent Care Center LLC | Past | Accepting new patients |
Locations
251 Salina Meadows Pkwy
Ste 100
Syracuse, NY 13212
Phone (315) 464-2000
750 E Adams St
Syracuse, NY 13210
Phone (315) 464-4363
Interoperability endpoints
- tgreenfield18277@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 and National Provider Directory roles.
-
- Emergency Medicine Physician
- Syracuse, NY
- NPI 1275589582
-
- Pediatrics Physician
- Philadelphia, PA
- NPI 1255363578
-
- Urgent Care Clinic/Center
- Jenkintown, PA
- NPI 1821363417
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1188345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1377475200000",
"number": "1306030606",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "750 E ADAMS ST",
"address_2": "UPSTATE UNIVERSITY HOSPITAL",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132102342",
"telephone_number": "315-464-4363",
"fax_number": "315-464-8690"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "750 E ADAMS ST",
"address_2": "UPSTATE UNIVERSITY HOSPITAL",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132102342",
"telephone_number": "315-464-4363",
"fax_number": "315-464-8690"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREENFIELD",
"first_name": "TYLER",
"middle_name": "CHRISTOPHER",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-08-29",
"last_updated": "2013-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0204X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Emergency Medicine",
"state": "PA",
"license": "OS015034",
"primary": false
},
{
"code": "2080P0204X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Emergency Medicine",
"state": "NY",
"license": "252188",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03600213",
"state": "NY"
}
],
"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 Aug 26, 2013; 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.