Atul Maini, M.D.

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

239516 Issued in MA

Practice address

5100 W Taft Rd Ste 2E
Upstate Surgical Group P.C.
Liverpool, NY 13088-4841

Phone

(315) 634-3399

Fax

(315) 634-3481

NPI assigned

Apr 18, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

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

Specialty

General Surgery

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Syracuse General Surgery PCGroup PAC ID 4981098332, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Joseph'S Hospital Health Center Hospital, Syracuse, NY, CCN 330140
• Crouse Hospital Hospital, Syracuse, NY, CCN 330203

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mainia1@hiemail.healtheconnections.org
• Direct secure messaging: drmaini@sgs.medentdirect.com

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.

• Syracuse General Surgery, PC

  • Surgery Physician
  • Syracuse, NY
  • NPI 1285388322
  Medicare reassignment Care Compare group NPD Authorized official
• St Josephs Hospital Health Center

  • General Acute Care Hospital
  • Syracuse, NY
  • NPI 1508815333
  Medicare reassignment NPD
• St Josephs Medical PC

  • Family Medicine Physician
  • Liverpool, NY
  • NPI 1942501747

  Surgery

  Medicare reassignment NPD
• St. Joseph'S Physician Health, P.C.

  • Anesthesiology Physician
  • Troy, NY
  • NPI 1154376770
  Medicare reassignment NPD
• North Medical PC

  • Family Medicine Physician
  • Liverpool, NY
  • NPI 1972563070
  NPD
• St Joseph'S Hospital Health Center

  • Internal Medicine Physician
  • Syracuse, NY
  • NPI 1699832436
  NPD
• Hampden County Physician Associates, LLC

  • Internal Medicine Physician
  • Springfield, MA
  • NPI 1992794770

  Surgery

  NPD (past)
• Hampden County Physician Associates, LLC.

  • Sleep Medicine (Internal Medicine) Physician
  • Southwick, MA
  • NPI 1548567696
  NPD (past)

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

• Crouse Health Hospital, Inc.

  • General Acute Care Hospital
  • Syracuse, NY
  • NPI 1033107743
  Care Compare affiliation
• St Josephs Hospital Health Center

  • General Acute Care Hospital
  • Syracuse, NY
  • NPI 1508815333
  Care Compare affiliation

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294617600000",
    "number": "1396700985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 W TAFT RD STE 2E",
            "address_2": "UPSTATE SURGICAL GROUP P.C.",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130884841",
            "telephone_number": "315-634-3999",
            "fax_number": "315-634-3481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 W TAFT RD STE 2E",
            "address_2": "UPSTATE SURGICAL GROUP P.C.",
            "city": "LIVERPOOL",
            "state": "NY",
            "postal_code": "130884841",
            "telephone_number": "315-634-3399",
            "fax_number": "315-634-3481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAINI",
        "first_name": "ATUL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-18",
        "last_updated": "2011-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "002108",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MA",
            "license": "239516",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE  (PENDING)",
            "identifier": "M0000000",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02586827",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MA BORM LICENSE",
            "identifier": "239516",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nina Magliocca
• Magnetic Resonance Imaging of Central New York, PLLC
• Omnia Saad Hanafy Mahmoud, PA-C
• Nancy Anna Mahr-Tyler
• Connor Maile
• Jill C Malinowski, NP
• Clare Maliwacki
• Nicole Renee Mallicoat-Cashman, DPT
• Jeffrey S Maloff, DDS
• Marlene K. Maloney, RN

• Surgery Physician in Liverpool, NY
• Providers in Liverpool, NY by specialty
• Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2011; 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.

Verify at the official NPI Registry.