Active NPI
Christopher M Pieczonka, M.D.
- Urology Physician
- Syracuse, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 227123
- Practice address
- 1226 E Water St
Syracuse, NY 13210-1155 - Phone
- (315) 478-4185
- Fax
- (315) 478-0840
- NPI assigned
- Oct 5, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 227123 | NY | Primary |
Addresses
Primary practice location
1226 E Water St
Syracuse, NY 13210-1155
Mailing address
1226 E Water St
Syracuse, NY 13210-1155
Phone (315) 478-4185
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02410933 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- State University of New York at Buffalo School of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1226 E Water St
Syracuse, NY 13210-1155
Phone (315) 478-4185
300 Clyde Morris Blvd
Suite C
Ormond Beach, FL 32174-5956
Phone (386) 673-5100
Hospital & facility affiliations
- Oswego Hospital
- Samaritan Medical Center
- Crouse Hospital
- St Joseph'S Hospital Health Center
- Guthrie Cortland Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 227123 | NY | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Associated Medical Professionals of Ny, PLLC | Urology | Current | Accepting new patients |
| Florida Urology Center PA | Urology | Current | Accepting new patients |
| Associated Medical Professionals of Ny, PLLC | Urology | Current | Accepting new patients |
Locations
300 Clyde Morris Blvd
Ste C
Ormond Beach, FL 32174
Phone (386) 673-5100
5100 W Taft Rd
Ste 4J
Liverpool, NY 13088
Phone (315) 701-2170
100 Metropolitan Park Dr
Ste 100
Liverpool, NY 13088
Phone (315) 870-9370
4900 Broad Rd
Syracuse, NY 13215
Phone (315) 492-5011
1226 E Water St
Syracuse, NY 13210
Phone (315) 423-7226
Interoperability endpoints
- cpieczonka@ampofny.medentdirect.com
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.
-
- Urology Physician
- Syracuse, NY
- NPI 1467659060
-
- Urology Physician
- Ormond Beach, FL
- NPI 1336286251
-
- Urology Physician
- Fulton, NY
- NPI 1386062990
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Syracuse, NY
- NPI 1033107743
-
- General Acute Care Hospital
- Cortland, NY
- NPI 1740287531
-
- General Acute Care Hospital
- Oswego, NY
- NPI 1871678458
-
- General Acute Care Hospital
- Watertown, NY
- NPI 1598713745
-
- General Acute Care Hospital
- Syracuse, NY
- NPI 1508815333
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340323200000",
"number": "1376530121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1226 E WATER ST",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132101155",
"telephone_number": "315-478-4185",
"fax_number": "315-478-0840"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1226 E WATER ST",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132101155",
"telephone_number": "315-478-4185",
"fax_number": "315-478-0840"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIECZONKA",
"first_name": "CHRISTOPHER",
"middle_name": "M",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-05",
"last_updated": "2012-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "NY",
"license": "227123",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02410933",
"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 Jun 22, 2012; 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.