Active NPI
Adam Odell Bailey, BSN, CRNA
- Certified Registered Nurse Anesthetist
- Syracuse, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 820830
- Practice address
- 301 Prospect Ave
Syracuse, NY 13203-1899 - Phone
- (315) 488-5111
- NPI assigned
- Dec 9, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 2019011886 | MO | |
| Certified Registered Nurse Anesthetist | 367500000X | 820830 | NY | Primary |
Addresses
Primary practice location
301 Prospect Ave
Syracuse, NY 13203-1899
Mailing address
105 N Willow St Apt 3
Liverpool, NY 13088-5567
Phone (405) 509-4559
Other practice location 1
2710 S Rife Medical Ln
Rogers, AR 72758-1452
Phone (479) 338-8000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, OR
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5000 Campuswood Dr
Suite 100
East Syracuse, NY 13057-1254
Phone (315) 234-6677
5325 State Route 233
Westmoreland, NY 13490-1322
Phone (315) 801-5060
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.77 of 100
- Quality
- 88.12
- Improvement activities
- 40
- Cost
- 77.69
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.62 of 100
- Quality
- 77.97
- Promoting interoperability
- 98
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 98.09 of 100
- Quality
- 97.07
- Promoting interoperability
- 99
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Bachelor on Science - Nursing
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2019011886 | MO | MD | Registered Nurse |
| 820830 | NY | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Syracuse Gastroenterological Associates.PC | Current | Accepting new patients | |
| Mary Imogene Bassett Hospital | Current | Accepting new patients | |
| North American Partners in Anesthesia LLP | Current | Accepting new patients | |
| Syracuse Gastroenterological Associates PC | Current | Accepting new patients | |
| Hospitalist Medicine Physicians of Washington - TCS | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Mary Imogene Bassett Hospital | Current | Accepting new patients | |
| Jefferson Anesthesiologist Services PC | Current | Accepting new patients |
Locations
7 Southwoods Blvd
Ste 4
Albany, NY 12211
178 Grandview Dr
Cobleskill, NY 12043
Phone (518) 254-3456
1 Atwell Rd
Cooperstown, NY 13326
Phone (607) 547-3480
460 Andes Rd
Delhi, NY 13753
Phone (607) 746-0300
5000 Campuswood Dr
Ste 100
East Syracuse, NY 13057
Phone (315) 234-6687
3122 Union St
Ste 1B
Flushing, NY 11354
Phone (718) 968-7171
68 S Service Rd
Ste 350
Melville, NY 11747
Phone (516) 945-3107
1510 Jericho Tpke
New Hyde Park, NY 11040
Phone (516) 216-5341
301 Prospect Ave
Syracuse, NY 13203
Phone (315) 448-5111
130 North St
Walton, NY 13856
Phone (607) 865-6541
830 Washington St
Watertown, NY 13601
Phone (315) 785-4000
9205 SW Barnes Rd
Portland, OR 97225
Phone (503) 216-1234
120 Brentwood Commons Way
Ste 510
Brentwood, TN 37027
Phone (253) 682-6040
Organizations & group practices 8
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.
-
- Gastroenterology Physician
- East Syracuse, NY
- NPI 1619947843
NY
-
- Anesthesiology Physician
- Portland, OR
- NPI 1649816380
Nurse Anesthetist, Certified Registered, OR
-
- Specialty Pharmacy
- Oneonta, NY
- NPI 1174419196
-
- Anesthesiology Physician
- Melville, NY
- NPI 1649264706
-
- Anesthesiology Physician
- East Syracuse, NY
- NPI 1417326661
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626998400000",
"number": "1609472158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 N WILLOW ST APT 3",
"city": "LIVERPOOL",
"state": "NY",
"postal_code": "130885567",
"telephone_number": "405-509-4559"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 PROSPECT AVE",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132031899",
"telephone_number": "315-488-5111"
}
],
"practiceLocations": [
{
"address_1": "2710 S Rife Medical Ln",
"address_purpose": "LOCATION",
"city": "Rogers",
"state": "AR",
"postal_code": "727581452",
"country_code": "US",
"telephone_number": "479-338-8000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BAILEY",
"first_name": "ADAM",
"middle_name": "ODELL",
"credential": "BSN, CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-12-09",
"last_updated": "2021-07-23",
"certification_date": "2021-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MO",
"license": "2019011886",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NY",
"license": "820830",
"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 Jul 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.