Active NPI
Scott M Reizun, MD
- Anesthesiology Physician
- Syracuse, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 173287
- Practice address
- 4900 Broad Rd
Syracuse, NY 13215-2265 - Phone
- (315) 492-5522
- NPI assigned
- Jun 8, 2005
- 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 |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 173287 | NY | |
| Anesthesiology Physician | 207L00000X | 173287 | NY | Primary |
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
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041014000759 | NY | Practitioner - Anesthesiology | 0648169961 |
Reassigns benefits to 3 organizations Practice locations: Cortland, NY; Utica, NY; Syracuse, NY; Schenectady, NY; Oneida, NY; Liverpool, NY; Geneva, NY; Fulton, NY… |
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- State University of Ny Upstate Medical University, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1101 Nott St
Schenecctady, NY 12308-2425
Phone (518) 243-4000
4302 Medical Ctr Dr
Suite 302
Fayetteville, NY 13066-6625
Phone (315) 423-9722
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 173287 | NY | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chag Anesthesia PC | Anesthesiology | Current | Accepting new patients |
| Syracuse ASC LLC | Anesthesiology | Current | Accepting new patients |
| Agcny Physicians PLLC | Anesthesiology | Current | Accepting new patients |
| Urology Specialists of Cny, PC | Past | Accepting new patients | |
| Upstate Medical Anesthesiology Group, Inc. | Past | Accepting new patients | |
| Fulton Family Psychiatry PC | Past | Accepting new patients | |
| Oswego County Urology PC | Past | Accepting new patients | |
| RJ Anesthesia PLLC | Anesthesiology | Past | Accepting new patients |
| Cny Facial Surgery Group, PC | Past | Accepting new patients |
Locations
4939 Brittonfield Pkwy
Ste 210
East Syracuse, NY 13057
Phone (315) 471-2713
4939 Brittonfield Pkwy
Ofc 1
East Syracuse, NY 13057
Phone (315) 471-8404
4302 Medical Center Dr
#302
Fayetteville, NY 13066
Phone (315) 423-9722
4309 Medical Center Dr
Fayetteville, NY 13066
Phone (315) 329-7300
225 Greenfield Pkwy
Ste 105
Liverpool, NY 13088
Phone (315) 451-6911
1226 E Water St
Syracuse, NY 13210
Phone (315) 423-7226
190 Intrepid Ln
#One
Syracuse, NY 13205
Phone (315) 498-6200
195 Intrepid Ln
Syracuse, NY 13205
Phone (315) 469-6789
4900 Broad Rd
Bldg S
Syracuse, NY 13215
Phone (315) 299-5313
190 Intrepid Ln
Syracuse, NY 13205
Phone (315) 498-6200
1000 E Genesee St
Ste 500
Syracuse, NY 13210
Phone (315) 471-2713
4900 Broad Rd
Syracuse, NY 13215
Phone (315) 492-5011
Organizations & group practices 9
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.
-
- Plastic Surgery within the Head & Neck (Otolaryngology) Physician
- E. Syracuse, NY
- NPI 1831297183
-
- Psychiatry Physician
- Fulton, NY
- NPI 1912563867
-
- Urology Physician
- Fulton, NY
- NPI 1023188596
-
- General Acute Care Hospital
- Syracuse, NY
- NPI 1851485759
-
- Urology Physician
- Cortland, NY
- NPI 1275681926
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589587200000",
"number": "1366446262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2005",
"city": "EAST SYRACUSE",
"state": "NY",
"postal_code": "130574505",
"telephone_number": "315-449-0513",
"fax_number": "315-445-2936"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4900 BROAD RD",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132152265",
"telephone_number": "315-492-5522"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REIZUN",
"first_name": "SCOTT",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-08",
"last_updated": "2020-05-16",
"certification_date": "2020-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "NY",
"license": "173287",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NY",
"license": "173287",
"primary": true
}
],
"identifiers": [],
"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 May 16, 2020; 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.