Department of Medicine Medical Serv GRP at Suny HLTH Sci Ctr at Syr in

Primary specialty

Infectious Disease PhysicianTaxonomy code 207RI0200X

Legal business name

DEPARTMENT OF MEDICINE MEDICAL SERV GRP AT SUNY HLTH SCI CTR AT SYR IN

Practice address

725 Irving Ave
Suite 311
Syracuse, NY 13210-1603

Phone

(315) 464-5533

Fax

(315) 464-5579

NPI assigned

Jul 21, 2006

Organization subpart

No

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

Authorized official

Name

Sriram Narsipur, MD

Title

President

Phone

(315) 464-3834

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Infectious Disease Associates Doing business as

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584576000000",
    "number": "1639199441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 IRVING AVE",
            "address_2": "SUITE 311",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132101603",
            "telephone_number": "315-464-5533",
            "fax_number": "315-464-5579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 IRVING AVE",
            "address_2": "SUITE 311",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132101603",
            "telephone_number": "315-464-5533",
            "fax_number": "315-464-5579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEPARTMENT OF MEDICINE MEDICAL SERV GRP AT SUNY HLTH SCI CTR AT SYR IN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2020-03-19",
        "certification_date": "2020-03-19",
        "status": "A",
        "authorized_official_last_name": "NARSIPUR",
        "authorized_official_first_name": "SRIRAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "315-464-3834",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Infectious Disease",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NY",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00459903",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Infectious Disease Associates",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Infectious Disease Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sally Densk
• Dental Arts Group
• Jessica Deordio, FNP
• Garrett Michael Depalma, DO
• Department of Medicine
• Department of Medicine Medical Serv GRP at Suny HLTH Sci Ctr Syr in
• Department of Medicine Medical Service Group
• Department of Medicine MSG
• Department of Medicine MSG
• Department of Medicine MSG

• Infectious Disease Physician in Syracuse, NY
• Providers in Syracuse, NY by specialty
• Infectious Disease Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2020; 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.