Individual provider Active NPI

Paraskos Araouzos, MD

  • Family Medicine Physician
  • Manlius, NY
National Provider Identifier
1316938830
Registry record updated Mar 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
231989-1 Issued in NY
Practice address
4500 Pewter LN
Manlius, NY 13104
Phone
(315) 682-6600
Fax
(315) 682-0570
NPI assigned
Nov 3, 2005
Last updated
Mar 12, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 231989-1 NY Primary

Addresses

Primary practice location

4500 Pewter LN
Manlius, NY 13104

Mailing address

1001 W Fayette St Ste 400
Syracuse, NY 13204-2866
Phone (315) 937-3433

Other practice location 1

7000 E Genesee St
Bldg D
Fayetteville, NY 13066-1131
Phone (315) 449-3577

Other identifiers 1

IdentifierTypeStateIssuer
03283378MedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address paraouzos@crousemed.medentdirect.com Direct Crouse Medical Practice, PLLC

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
I20041012000763 NY Practitioner - Family Practice 6002876315 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Crouse Medical Practice PLLCGroup PAC ID 8426189622, 187 clinicians

Practice addresses (Care Compare)

4500 Pewter LN
Suite 1
Manlius, NY 13104-7704
Phone (315) 682-6600

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
231989-1NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Upstate Family and Preventive Medicine, Inc Family Medicine CurrentSince Jun 1, 2019 Accepting new patients
Crouse Medical Practice PLLC CurrentSince Jul 1, 2019 Accepting new patients
Crouse Medical Practice, PLLC CurrentSince Jul 1, 2019 Accepting new patients
St Josephs Medical PC Family Medicine CurrentSince Aug 11, 2013 Accepting new patients
North Medical PC Family Medicine Current Accepting new patients
Family Medicine Medical Service Group Family Medicine PastSince Jul 23, 2015 Accepting new patients
Immediate Medical Care of Cny, PC Family Medicine PastSince Nov 1, 2007 Accepting new patients

Locations

4103 Medical Center Dr
Fayetteville, NY 13066
Phone (315) 637-7800

5100 W Taft Rd
Ste 1C
Liverpool, NY 13088
Phone (315) 452-2333

5100 W Taft Rd
Ste 2T
Liverpool, NY 13088
Phone (315) 744-1592

4500 Pewter Ln
Bldg 1
Manlius, NY 13104
Phone (315) 470-7409

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

4900 Broad Rd
Ste 3M
Syracuse, NY 13215
Phone (315) 492-3400

6712 Brooklawn Pkwy
Ste 204
Syracuse, NY 13211
Phone (315) 432-8899

736 Irving Ave
Syracuse, NY 13210
Phone (315) 470-7111

918 James St
Syracuse, NY 13203
Phone (315) 474-1561

Organizations & group practices 7

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 2

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": "1130976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615507200000",
    "number": "1316938830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 W FAYETTE ST STE 400",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132042866",
            "telephone_number": "315-937-3433",
            "fax_number": "315-937-3833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 PEWTER LN",
            "city": "MANLIUS",
            "state": "NY",
            "postal_code": "13104",
            "telephone_number": "315-682-6600",
            "fax_number": "315-682-0570"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7000 E Genesee St",
            "address_2": "Bldg D",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NY",
            "postal_code": "130661131",
            "country_code": "US",
            "telephone_number": "315-449-3577",
            "fax_number": "315-449-3578",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ARAOUZOS",
        "first_name": "PARASKOS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-03",
        "last_updated": "2021-03-12",
        "certification_date": "2021-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "231989-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03283378",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "paraouzos@crousemed.medentdirect.com",
            "affiliation": "Y",
            "endpointDescription": "email address in Medent",
            "affiliationName": "Crouse Medical Practice, PLLC",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "other",
            "address_1": "4500 Pewter Ln",
            "city": "Manlius",
            "state": "NY",
            "country_code": "US",
            "postal_code": "13104",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Manlius, NY

Sources for this page

Verify at the official NPI Registry.