Individual provider Active NPI

Bedirhan Tarhan, MD

  • Pediatrics Physician
  • Syracuse, NY
National Provider Identifier
1629599493
Registry record updated Aug 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
338441 Issued in NY
Practice address
90 Presidential Plaza
2ND FL
Syracuse, NY 13202
Phone
(315) 464-4243
Fax
(315) 464-7328
NPI assigned
Jul 3, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 036160394 IL
Pediatric Critical Care Medicine Physician 2080P0203X 338441 NY
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X 338441 NY
Pediatrics Physician 208000000X 338441 NY Primary

Addresses

Primary practice location

90 Presidential Plaza
2ND FL
Syracuse, NY 13202

Mailing address

90 Presidential Plaza
2ND FL
Syracuse, NY 13202
Phone (315) 464-4243

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, NY2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230628001761 IL Practitioner - Pediatric MedicinePractitioner - Neurology 2961775887 Reassigns benefits to 3 organizations
I20250801002388 NY Practitioner - Pediatric MedicinePractitioner - NeurologyPractitioner - Critical Care (Intensivists) 2961775887 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
338441NYMDFamily Health Clinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Board of Trustees of the University of Illinois Pediatrics CurrentSince Jul 23, 2023 Accepting new patients
Neurology Medical Service Group, LLP CurrentSince Jul 7, 2025 Accepting new patients
The Board of Trustees of the University of Illinois CurrentSince Jul 23, 2023 Accepting new patients
The Board of Trustees of the University of Illinois Current Accepting new patients
Pediatric Service Group Pediatrics CurrentSince Jul 7, 2025 Accepting new patients
The University of Chicago Medical Center CurrentSince Aug 1, 2024 Accepting new patients
Saint Anthony Health Affiliates CurrentSince Jun 15, 2023 Accepting new patients
The University of Chicago Medical Center CurrentSince Aug 1, 2024 Accepting new patients
Suny Health Science Center at Syracuse Past Accepting new patients

Locations

150 Harvester Dr
Ste 300
Burr Ridge, IL 60527
Phone (773) 702-1061

2875 W 19th St
Chicago, IL 60623
Phone (773) 484-4300

7694 Solutions Ctr
Chicago, IL 60677

4177 S Archer Ave
Chicago, IL 60632
Phone (773) 254-2222

120 N Oak St
Oak Brook Mall, IL 60521
Phone (630) 856-6700

1 Illini Dr
Peoria, IL 61605
Phone (309) 671-3000

90 Presidential Plz
Fl 2
Syracuse, NY 13202
Phone (315) 464-3833

750 E Adams St
Syracuse, NY 13210
Phone (315) 464-4363

Interoperability endpoints

  • Direct secure messaging: btarhan169532@direct.upstate.edu

Organizations & group practices 9

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": "1499040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754870400000",
    "number": "1629599493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 PRESIDENTIAL PLAZA",
            "address_2": "2ND FL",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "13202",
            "telephone_number": "315-464-4243",
            "fax_number": "315-464-7328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 PRESIDENTIAL PLAZA",
            "address_2": "2ND FL",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "13202",
            "telephone_number": "315-464-4243",
            "fax_number": "315-464-7328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARHAN",
        "first_name": "BEDIRHAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-03",
        "last_updated": "2025-08-11",
        "certification_date": "2023-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "036160394",
            "primary": false
        },
        {
            "code": "2080P0203X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Critical Care Medicine",
            "state": "NY",
            "license": "338441",
            "primary": false
        },
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "NY",
            "license": "338441",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "338441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

Verify at the official NPI Registry.