Karen Lynn Castaldo, DO
Individual provider Active NPI Anesthesiology Physician · Syracuse, NY
NPI 1356488944 · NPPES record last updated Sep 24, 2020
Key facts
- NPI
- 1356488944
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anesthesiology Physician 207L00000X
- License
- 244822 (NY)
- Practice address
- 4900 Broad Rd
Syracuse, NY 13215-2265 - Phone
- (315) 449-0513
- NPI assigned
- Jan 31, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Anesthesiology
- Education
- Philadelphia College of Osteopathic Medicine, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Agcny Physicians PLLC
Chag Anesthesia PC
Practice addresses (Care Compare)
260 Township Blvd
Suite 20
Camillus, NY 13031-1678
Phone (315) 708-0091
4900 Broad Rd
Syracuse, NY 13215-2265
Phone (315) 498-6200
Hospital & facility affiliations
- University Hospital S U N Y Health Science Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200323002739 | NY | Practitioner - Anesthesiology | 8820197965 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 244822 | NY | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Agcny Physicians PLLC | Anesthesiology | Current |
Accepting new patients |
| Chag Anesthesia PC | Anesthesiology | Current |
Accepting new patients |
Locations
260 Township Blvd
Ste 20
Camillus, NY 13031
Phone (315) 708-0091
4309 Medical Center Dr
Fayetteville, NY 13066
Phone (315) 329-7300
4900 Broad Rd
Syracuse, NY 13215
Phone (315) 492-5011
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 244822 | NY | Yes |
Addresses
Primary practice location
4900 Broad Rd
Syracuse, NY 13215-2265
Mailing address
PO Box 2005
East Syracuse, NY 13057-4505
Phone (315) 449-0513
Other providers in Syracuse, NY
- Hillary Cashier
- Diane Lynne Cass
- Kimberly T Cass
- Sophia Grace Cassata
- Stefanie A Cassel
- Sereia Castellanos Ross
- Ana Castelli
- Michael Gene Castello
- Rachel Castillo
- Castle Rest Nursing Home
All providers in Syracuse, NY · Anesthesiology Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 24, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.