Dmitriy Anatoliy Shanturov, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

685853 Issued in NY

Practice address

900 Luxor LN Apt 109
Norristown, PA 19401-5110

Phone

(315) 481-9503

NPI assigned

Jul 20, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

St Joseph's Physician Health PCGroup PAC ID 9436041431, 125 clinicians

Chag Anesthesia PCGroup PAC ID 2668361973, 54 clinicians

Syracuse Gastroenterological Associates.PCGroup PAC ID 6305814716, 35 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• 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

Merit-based Incentive Payment System (MIPS)

Final score

98.09 of 100Reported as group

Quality

97.07

Promoting interoperability

99

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

39.78 of 100Reported as group

Quality

24.5

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

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.

• St. Joseph's Physician Health, P.C.

  • Anesthesiology Physician
  • Troy, NY
  • NPI 1154376770
  Medicare reassignment Care Compare group NPD
• Syracuse Gastroenterological Associates.PC

  • Gastroenterology Physician
  • East Syracuse, NY
  • NPI 1619947843
  Medicare reassignment Care Compare group NPD
• Chag Anesthesia PC

  • Anesthesiology Physician
  • Syracuse, NY
  • NPI 1740279017
  Medicare reassignment Care Compare group
• Agcny Physicians PLLC

  • Anesthesiology Physician
  • Fayetteville, NY
  • NPI 1033497136
  Medicare reassignment
• North American Partners in Anesthesia LLP

  • Anesthesiology Physician
  • Melville, NY
  • NPI 1649264706
  NPD
• Syracuse Gastroenterological Associates PC

  • Anesthesiology Physician
  • East Syracuse, NY
  • NPI 1417326661
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• St Josephs Hospital Health Center

  • General Acute Care Hospital
  • Syracuse, NY
  • NPI 1508815333
  Care Compare affiliation
• Suny Health Science Center at Syracuse

  • General Acute Care Hospital
  • Syracuse, NY
  • NPI 1578554630
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1563580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563580800000",
    "number": "1326691130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 LUXOR LN APT 109",
            "city": "NORRISTOWN",
            "state": "PA",
            "postal_code": "194015110",
            "telephone_number": "315-481-9503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 LUXOR LN APT 109",
            "city": "NORRISTOWN",
            "state": "PA",
            "postal_code": "194015110",
            "telephone_number": "315-481-9503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHANTUROV",
        "first_name": "DMITRIY",
        "middle_name": "ANATOLIY",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-07-20",
        "last_updated": "2019-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NY",
            "license": "685853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Syrcause",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "301 Prospect Ave",
            "city": "Syracuse",
            "state": "NY",
            "country_code": "US",
            "postal_code": "132031807",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Senior Living Home Health Care Agency
• Served With Love Foundation
• Donald Sesso, D.O.
• Donald Mario Sesso, DO
• Hansa K. Shah, M.D.
• Steven A Shapiro, D.O.
• Alpa Sherman
• Kristin Anne Sherman, LPC
• Shiloh Family Services LLC.
• Amanda Sickel, RN, IBCLC

• Certified Registered Nurse Anesthetist in Norristown, PA
• Providers in Norristown, PA by specialty
• Certified Registered Nurse Anesthetist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.