Organization Active NPI

Siraj a Bhadsavle M D PLLC

  • Pain Medicine (Anesthesiology) Physician
  • Syracuse, NY
National Provider Identifier
1467027623
Registry record updated May 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
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

Updated by the provider on May 21, 2021

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

Authorized official

Name
Siraj Bhadsavle, MDNPI 1467616714
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)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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

Enrollment IDStateProvider typePAC IDDetails
O20210601000764 NY Part B Supplier - Clinic/Group Practice 7214336924 Receives reassigned benefits from 3 practitioners
Practice locations: Binghamton, NY

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.