Individual provider Active NPI

Virginia Ann Nelson, M.D.

  • Anesthesiology Physician
  • East Syracuse, NY
National Provider Identifier
1407909237
Registry record updated Feb 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
196221 Issued in NY
Practice address
6700 Kirkville Rd Ste 104
East Syracuse, NY 13057-9373
Phone
(315) 559-0375
NPI assigned
Jan 18, 2007
Last updated
Feb 13, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 196221 NY Primary

Addresses

Primary practice location

6700 Kirkville Rd Ste 104
East Syracuse, NY 13057-9373

Mailing address

6700 Kirkville Rd Ste 104
East Syracuse, NY 13057-9373
Phone (315) 559-0375

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
I20050404000457 NY Practitioner - Anesthesiology 4880641711 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Michigan Medical School, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Joseph's Physician Health PCGroup PAC ID 9436041431, 125 clinicians

Practice addresses (Care Compare)

301 Prospect Ave
Syracuse, NY 13203-1807
Phone (315) 448-5111

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
39.78 of 100Reported as group
Quality
24.5
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
196221NYMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Joseph's Physician Health, P.C. Anesthesiology CurrentSince Jun 1, 2024 Accepting new patients
Greentree Anesthesia Services, PLLC Anesthesiology CurrentSince Jul 24, 2009 Accepting new patients
North American Partners in Anesthesia LLP Anesthesiology CurrentSince Apr 25, 2023 Accepting new patients
St Josephs Hospital Health Center PastSince Jun 1, 2024 Accepting new patients
American Anesthesiology of Syracuse, PC Anesthesiology Past Accepting new patients
Holdings,LLC Past Accepting new patients

Locations

7 Southwoods Blvd
Ste 4
Albany, NY 12211

6700 Kirkville Rd
Ste 104
East Syracuse, NY 13057
Phone (315) 559-0375

4000 Medical Center Dr
Ste 208
Fayetteville, NY 13066
Phone (315) 329-7999

4309 Medical Center Dr
Fayetteville, NY 13066
Phone (315) 329-7300

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

7209 Buckley Rd
Liverpool, NY 13088
Phone (315) 299-5451

1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796

1510 Jericho Tpke
New Hyde Park, NY 11040
Phone (516) 216-5341

321 Genesee St
Oneida, NY 13421
Phone (315) 361-2020

104 Union Ave
Syracuse, NY 13203
Phone (315) 422-4442

301 Prospect Ave
Syracuse, NY 13203
Phone (315) 448-5111

750 E Adams St
Syracuse, NY 13210
Phone (315) 464-4363

Organizations & group practices 6

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 1

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": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581552000000",
    "number": "1407909237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6700 KIRKVILLE RD STE 104",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130579373",
            "telephone_number": "315-559-0375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6700 KIRKVILLE RD STE 104",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130579373",
            "telephone_number": "315-559-0375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "VIRGINIA",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-18",
        "last_updated": "2020-02-13",
        "certification_date": "2020-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "196221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Syracuse, NY

Sources for this page

Verify at the official NPI Registry.