Individual provider Active NPI

Robert J Ashenburg, MD

  • Diagnostic Radiology Physician
  • Syracuse, NY
National Provider Identifier
1407854979
Registry record updated Jul 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
155479 Issued in NY
Practice address
736 Irving Ave
Syracuse, NY 13210-1687
Phone
(315) 470-7551
Fax
(315) 470-2719
NPI assigned
Jul 8, 2005
Last updated
Jul 11, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 155479 NY Primary
Vascular & Interventional Radiology Physician 2085R0204X 155479 NY

Addresses

Primary practice location

736 Irving Ave
Syracuse, NY 13210-1687

Mailing address

5008 Brittonfield Pkwy
Suite 100
East Syracuse, NY 13057-9248
Phone (315) 234-7600

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040413001491 NY Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 5092610410 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Interventional Radiology
Education
University of Rochester School of Medicine and Dentistry, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Imaging Center LLPGroup PAC ID 7911991831, 38 clinicians
Crouse Radiology Associates LLPGroup PAC ID 1850387648, 105 clinicians

Practice addresses (Care Compare)

37 W Garden St
Suite 107
Auburn, NY 13021-2663
Phone (315) 255-2828

739 Irving Ave
Suite 150
Syracuse, NY 13210-1651
Phone (315) 470-2985

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.02 of 100Reported as group
Quality
75.32
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
86.23 of 100Reported as group
Quality
83.8
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
155479NYMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Crouse Radiology Associates LLP Diagnostic Radiology CurrentSince Jul 1, 1993 Accepting new patients
Medical Imaging Center LLP CurrentSince Jan 1, 2013 Accepting new patients
University Radiology Associates, LLP Diagnostic Radiology Past Accepting new patients
Mobile Diagnostic Testing Services Inc Past Accepting new patients
Genesee Valley Group Health Association Past Accepting new patients

Locations

281 Grant Ave
Auburn, NY 13021
Phone (315) 253-4459

37 W Garden St
Ste 107
Auburn, NY 13021
Phone (315) 255-2828

3045 East Ave
Central Square, NY 13036
Phone (315) 668-1202

6 Euclid Ave
Cortland, NY 13045
Phone (607) 753-9076

5000 Brittonfield Pkwy
Ste A112
East Syracuse, NY 13057
Phone (315) 234-4680

5000 Brittonfield Pkwy
Ste A114
East Syracuse, NY 13057
Phone (315) 472-4701

5008 Brittonfield Pkwy
East Syracuse, NY 13057
Phone (315) 634-5056

5008 Brittonfield Pkwy
Ste 100
East Syracuse, NY 13057
Phone (315) 234-7609

150 Broad St
Hamilton, NY 13346
Phone (315) 824-1100

5100 W Taft Rd
Ste 4D
Liverpool, NY 13088
Phone (315) 452-2321

4500 Pewter Ln
Bldg 1
Manlius, NY 13104
Phone (315) 470-7409

357 Genesee St
Oneida, NY 13421
Phone (315) 363-8800

183 Intrepid Ln
Syracuse, NY 13205
Phone (315) 251-0401

4900 Broad Rd
Syracuse, NY 13215
Phone (315) 492-5011

725 Irving Ave
Ste 209
Syracuse, NY 13210
Phone (315) 472-4364

736 Irving Ave
Syracuse, NY 13210
Phone (315) 470-7111

736 Irving Ave
Ste 150
Syracuse, NY 13210

736 Irving Ave
Ste 2499
Syracuse, NY 13210
Phone (315) 472-4364

739 Irving Ave
Ste 150
Syracuse, NY 13210
Phone (315) 470-2985

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1120780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341964800000",
    "number": "1407854979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5008 BRITTONFIELD PKWY",
            "address_2": "SUITE 100",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130579248",
            "telephone_number": "315-234-7600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "736 IRVING AVE",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132101687",
            "telephone_number": "315-470-7551",
            "fax_number": "315-470-2719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASHENBURG",
        "first_name": "ROBERT",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-08",
        "last_updated": "2012-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "155479",
            "primary": true
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NY",
            "license": "155479",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

Verify at the official NPI Registry.