Active NPI
Siraj a Bhadsavle M D PLLC
- Pain Medicine (Anesthesiology) Physician
- Syracuse, NY
National Provider Identifier
1467027623
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- Legal business name
- SIRAJ A BHADSAVLE M D PLLC
- Practice address
- 507 Plum St Ste 310
Syracuse, NY 13204-1469 - Phone
- (718) 222-5999
- Fax
- (718) 387-6429
- NPI assigned
- May 20, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Siraj Bhadsavle, MD
- Title
- Ceo
- Phone
- (718) 222-5999
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | Primary |
Addresses
Primary practice location
507 Plum St Ste 310
Syracuse, NY 13204-1469
Mailing address
240 E 39TH St Apt 28a
New York, NY 10016-7208
Phone (718) 222-5999
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
507 Plum St
Ste 310
Syracuse, NY 13204
Phone (315) 477-6241
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Anesthesiology Physician
- Johnson City, NY
- NPI 1104869106
-
- Anesthesiology Physician
- Binghamton, NY
- NPI 1851389274
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1621468800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1621555200000",
"number": "1467027623",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "240 E 39TH ST APT 28A",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100167208",
"telephone_number": "718-222-5999",
"fax_number": "718-387-6429"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "507 PLUM ST STE 310",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132041469",
"telephone_number": "718-222-5999",
"fax_number": "718-387-6429"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SIRAJ A BHADSAVLE M D PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-05-20",
"last_updated": "2021-05-21",
"certification_date": "2021-05-21",
"status": "A",
"authorized_official_last_name": "BHADSAVLE",
"authorized_official_first_name": "SIRAJ",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "718-222-5999",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Anesthesiology, Pain Medicine",
"state": null,
"license": null,
"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 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.