Individual provider Active NPI

Reza Hosseini, MD

  • Occupational Medicine Physician
  • Syracuse, NY
National Provider Identifier
1467941013
Registry record updated Jul 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine PhysicianTaxonomy code 2083X0100X
License
323615 Issued in NY
Practice address
6712 Brooklawn Pkwy
Ste 204
Syracuse, NY 13211
Phone
(315) 432-8899
Fax
(315) 431-9528
NPI assigned
May 8, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2083X0100X 323615 NY Primary

Addresses

Primary practice location

6712 Brooklawn Pkwy
Ste 204
Syracuse, NY 13211

Mailing address

6712 Brooklawn Pkwy
Ste 204
Syracuse, NY 13211

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
I20230711000259 NY Practitioner - Preventive Medicine 5294080883 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Preventive Medicine
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Upstate Family and Preventive Medicine IncGroup PAC ID 6800185711, 30 clinicians

Practice addresses (Care Compare)

6712 Brooklawn Pkwy
Suite 204
Syracuse, NY 13211-2158
Phone (315) 432-8899

Merit-based Incentive Payment System (MIPS)

Final score
92.86 of 100Reported as group
Quality
85.15
Promoting interoperability
100
Improvement activities
40
Cost
80.95

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
323615NYMDOccupational Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Upstate Family and Preventive Medicine, Inc Single Specialty CurrentSince Jul 1, 2023 Accepting new patients
Family Medicine Medical Service Group Single Specialty CurrentSince Jul 1, 2023 Accepting new patients

Locations

6712 Brooklawn Pkwy
Ste 204
Syracuse, NY 13211
Phone (315) 432-8899

Interoperability endpoints

  • Direct secure messaging: rhosseini144517@direct.upstate.edu

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": "1525737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688947200000",
    "number": "1467941013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6712 BROOKLAWN PKWY",
            "address_2": "STE 204",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "13211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6712 BROOKLAWN PKWY",
            "address_2": "STE 204",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "13211",
            "telephone_number": "315-432-8899",
            "fax_number": "315-431-9528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOSSEINI",
        "first_name": "REZA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-05-08",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "NY",
            "license": "323615",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

Verify at the official NPI Registry.