Individual provider Active NPI

Kavita Seth, DO

  • Pediatrics Physician
  • East Syracuse, NY
National Provider Identifier
1467528703
Registry record updated Jun 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
235236 Issued in NY
Practice address
6711 Towpath Rd Ste 235
East Syracuse, NY 13057-9509
Phone
(315) 471-2646
Fax
(315) 471-1762
NPI assigned
Nov 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Infectious Diseases Physician 2080P0208X 235236 NY
Pediatrics Physician 208000000X 235236 NY Primary

Addresses

Primary practice location

6711 Towpath Rd Ste 235
East Syracuse, NY 13057-9509

Mailing address

6711 Towpath Rd Ste 235
East Syracuse, NY 13057-9509
Phone (315) 471-2646

Other practice location 1

5900 N Burdick St
East Syracuse, NY 13057-9462
Phone (315) 656-8750

Other practice location 2

475 Irving Ave Ste 210
Syracuse, NY 13210-1529
Phone (315) 656-8750

Other identifiers 1

IdentifierTypeStateIssuer
11851346OtherCAQH

Other names 1

  • Kavita Shroff Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
235236NYMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Madison Irving Pediatrics, PC CurrentSince Oct 1, 2022 Accepting new patients
Crouse Health Hospital, Inc. Past Accepting new patients

Locations

6711 Towpath Rd
Ste 235
East Syracuse, NY 13057
Phone (315) 471-2646

475 Irving Ave
Ste 210
Syracuse, NY 13210
Phone (315) 471-2646

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3682/brand/1/csg/1/fhir/r4
  • Direct secure messaging: kavita.seth.1@3682.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718064000000",
    "number": "1467528703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6711 TOWPATH RD STE 235",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130579509",
            "telephone_number": "315-471-2646",
            "fax_number": "315-471-1762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6711 TOWPATH RD STE 235",
            "city": "EAST SYRACUSE",
            "state": "NY",
            "postal_code": "130579509",
            "telephone_number": "315-471-2646",
            "fax_number": "315-471-1762"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5900 N Burdick St",
            "address_purpose": "LOCATION",
            "city": "East Syracuse",
            "state": "NY",
            "postal_code": "130579462",
            "country_code": "US",
            "telephone_number": "315-656-8750",
            "fax_number": "315-656-8490",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "475 Irving Ave Ste 210",
            "address_purpose": "LOCATION",
            "city": "Syracuse",
            "state": "NY",
            "postal_code": "132101529",
            "country_code": "US",
            "telephone_number": "315-656-8750",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SETH",
        "first_name": "KAVITA",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-28",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0208X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Infectious Diseases",
            "state": "NY",
            "license": "235236",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "235236",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11851346",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAVITA",
            "last_name": "SHROFF",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in East Syracuse, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.