Individual provider Active NPI

Larisa Syrow, MD

  • Neurology Physician
  • Brooklyn, NY
National Provider Identifier
1639364037
Registry record updated Feb 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
MD441860 Issued in PA
Practice address
4802 10TH Ave
Maimonides Medical Center; Department of Medicine
Brooklyn, NY 11219-2916
Phone
(718) 283-6000
NPI assigned
Sep 9, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2025

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 339880 LA
Neurology Physician 2084N0400X ME157100 FL
Neurology Physician 2084N0400X 71857 TN
Neurology Physician 2084N0400X 0101282845 VA
Neurology Physician 2084N0400X 01093360A IN
Neurology Physician 2084N0400X MD441860 PA Primary

Addresses

Primary practice location

4802 10TH Ave
Maimonides Medical Center; Department of Medicine
Brooklyn, NY 11219-2916

Mailing address

1512 Spruce St Apt 2212
Philadelphia, PA 19102-4569

Other practice location 1

100 15th St NW
Norton, VA 24273-1616
Phone (423) 630-7001

Other practice location 2

127 Health Care Dr
Pennington Gap, VA 24277-2853
Phone (276) 299-5000

Other practice location 3

300 Med Tech Pkwy
Johnson City, TN 37604-2277
Phone (423) 302-1000

Other practice location 4

1990 Holton Ave E
Big Stone Gap, VA 24219-3350
Phone (276) 523-3111

Other practice location 5

312 Hospital Dr
Clintwood, VA 24228-6786
Phone (276) 926-0300

Other practice location 6

58 Carroll Street
Lebanon, VA 24266-4510
Phone (276) 883-8000

Other practice location 7

245 Medical Park Dr
Marion, VA 24354-1100
Phone (276) 378-1000

Other practice location 8

16000 Johnston Memorial Dr
Abingdon, VA 24211-7664
Phone (276) 258-1000

Other practice location 9

15790 Paul Vega Dr
Hammond, LA 70403-1436
Phone (985) 230-1683

Other practice location 10

130 W Ravine Rd
Kingsport, TN 37660-3837
Phone (423) 224-3150

Other practice location 11

2000 Brookside Dr
Kingsport, TN 37660-4627
Phone (423) 857-7000

Other practice location 12

1 Medical Park Blvd
Bristol, TN 37620-7430
Phone (423) 844-1121

Other practice location 13

400 N State Of Franklin Rd
Johnson City, TN 37604-6035
Phone (423) 323-6900

Other practice location 14

851 Locust St
Rogersville, TN 37857-2407
Phone (423) 921-7000

Other practice location 15

1519 Main St
Sneedville, TN 37869-3657
Phone (423) 733-5000

Other practice location 16

1420 Tusculum Blvd
Greeneville, TN 37745-4279
Phone (423) 787-5000

Other practice location 17

1501 W Elk Ave
Elizabethton, TN 37643-2874
Phone (423) 542-1300

Other practice location 18

2030 Temple Hill Rd
Erwin, TN 37650-8721
Phone (423) 743-3141

Other practice location 19

1901 S Shady St
Mountain City, TN 37683-2021
Phone (423) 727-1100

Other practice location 20

1701 S Creasy Ln
Lafayette, IN 47905-4972
Phone (765) 502-4400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, MS, GA, FL, MO, TN, VA, IN8 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 8

Enrollment IDStateProvider typePAC IDDetails
I20121005000477 NJ Practitioner - Neurology 4082863022 Reassigns benefits to 1 organization
I20231222000277 MS Practitioner - Neurology 4082863022 Reassigns benefits to 1 organization
I20240228003371 GA Practitioner - Neurology 4082863022 Reassigns benefits to 1 organization
I20240308003318 FL Practitioner - Neurology 4082863022 Reassigns benefits to 1 organization
I20240729004181 MO Practitioner - Neurology 4082863022 Reassigns benefits to 2 organizations
I20241009001450 TN Practitioner - Neurology 4082863022 Reassigns benefits to 1 organization
I20241120003919 VA Practitioner - Neurology 4082863022 Reassigns benefits to 1 organization
I20250307001729 IN Practitioner - Neurology 4082863022 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
State University of New York at Stony Brook, School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Freeman-Oak Hill Health SystemGroup PAC ID 8325942253, shared by 14 NPIs, 385 clinicians
Wellmont Medical Associates IncGroup PAC ID 8123291739, shared by 2 NPIs, 432 clinicians
Franciscan Physician NetworkGroup PAC ID 3072790682, 1,152 clinicians
Forrest County General HospitalGroup PAC ID 1052397767, 107 clinicians

Practice addresses (Care Compare)

1102 W 32 St
Joplin, MO 64804-3503

1210 Brace Rd
Suite 100
Cherry Hill, NJ 08034-3213
Phone (856) 342-2445

130 W Ravine Rd
Kingsport, TN 37660-3837
Phone (423) 230-8412

16000 Johnson Memorial Dr
Abingdon, VA 24211-7664
Phone (276) 258-8200

1701 S Creasy LN
Lafayette, IN 47905-4972
Phone (765) 502-4000

6051 U S Hwy 49
Hattiesburg, MS 39401-7200
Phone (601) 288-4273

6051 US Hwy 49 S
Hattiesburg, MS 39401-7200
Phone (601) 288-7000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.92 of 100Reported as apm
Quality
90.2
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
91.83 of 100Reported as group
Quality
88.78
Promoting interoperability
99
Improvement activities
40
Cost
74.17

Merit-based Incentive Payment System (MIPS)

Final score
81.37 of 100Reported as group
Quality
60.15
Promoting interoperability
100
Improvement activities
40
Cost
77.74

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
339880LAMDNeurology Physician
MD441860PAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
CMC Department of Medicine Group PA Neurology CurrentSince Aug 11, 2012 Accepting new patients
Franciscan Physician Network CurrentSince Feb 25, 2025 Accepting new patients
CMC Department of Medicine Group PA CurrentSince Aug 11, 2012 Accepting new patients
Franciscan Physician Network CurrentSince Feb 25, 2025 Accepting new patients
Forrest County General Hospital CurrentSince Nov 19, 2024 Accepting new patients
Forrest County General Hospital CurrentSince Nov 19, 2024 Accepting new patients
Freeman-Oak Hill Health System Neurology CurrentSince Jun 20, 2024 Accepting new patients
North Oaks Medical Center, LLC CurrentSince Jan 20, 2024 Accepting new patients
Wellmont Medical Associates Inc CurrentSince Sep 10, 2024 Accepting new patients
Wellmont Medical Associates, Inc. CurrentSince Sep 10, 2024 Accepting new patients
Adventist Health System Georgia Inc CurrentSince Mar 1, 2024 Accepting new patients
Freeman-Oak Hill Health System CurrentSince Jun 20, 2024 Accepting new patients
Forrest County General Hospital Current Accepting new patients
Wellmont Medical Associates Inc CurrentSince Sep 10, 2024 Accepting new patients

Locations (25 of 36)

1035 Red Bud Rd NE
Calhoun, GA 30701
Phone (706) 602-7800

1704 Lafayette Rd
Ste 4
Crawfordsvlle, IN 47933
Phone (765) 364-3120

1701 S Creasy Ln
Lafayette, IN 47905
Phone (765) 502-4400

150 W Washington St
Shelbyville, IN 46176
Phone (317) 392-3211

15790 Paul Vega Md Dr
Hammond, LA 70403
Phone (985) 230-1682

1102 W 32nd St
Joplin, MO 64804
Phone (417) 347-1078

307 W 11th St
Lamar, MO 64759
Phone (417) 682-3300

6051 U S Highway 49
Hattiesburg, MS 39401
Phone (601) 288-2690

3 Cooper Plz
Rm 104
Camden, NJ 08103
Phone (609) 963-6770

3 Cooper Plz
Rm 215
Camden, NJ 08103
Phone (856) 342-2439

2339 Route 70 W
Ste 400
Cherry Hill, NJ 08002
Phone (856) 546-8525

1935 Route 70 E
Cherry Hill, NJ 08003
Phone (856) 246-3920

1210 Brace Rd
Ste 100
Cherry Hill, NJ 08034
Phone (609) 429-2816

3 Executive Campus
Fl 2
Cherry Hill, NJ 08002
Phone (856) 356-4920

701 Route 73 N
Ste 7
Marlton, NJ 08053
Phone (856) 342-2959

309 Bridgeboro Rd
Moorestown, NJ 08057
Phone (856) 439-2000

6100 Main St
Voorhees, NJ 08043
Phone (856) 673-4912

196 Grove Ave
Ste C
West Deptford, NJ 08086
Phone (856) 818-7577

1 Medical Park Blvd
Bristol, TN 37620
Phone (423) 390-0451

1501 W Elk Ave
Elizabethton, TN 37643
Phone (423) 542-1300

1021 W Oakland Ave
Ste 310
Johnson City, TN 37604
Phone (423) 302-6565

400 N State of Franklin Rd
Johnson City, TN 37604
Phone (423) 431-1310

300 Med Tech Pkwy
Johnson City, TN 37604
Phone (423) 302-1000

130 W Ravine Rd
Kingsport, TN 37660
Phone (423) 224-3150

111 W Stone Dr
Ste 100
Kingsport, TN 37660
Phone (423) 247-5197

Interoperability endpoints

  • Direct secure messaging: lsyrow32316@direct.cooperhealth.edu

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1189296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740441600000",
    "number": "1639364037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1512 SPRUCE ST APT 2212",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191024569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4802 10TH AVE",
            "address_2": "MAIMONIDES MEDICAL CENTER; DEPARTMENT OF MEDICINE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112192916",
            "telephone_number": "718-283-6000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 15th St NW",
            "address_purpose": "LOCATION",
            "city": "Norton",
            "state": "VA",
            "postal_code": "242731616",
            "country_code": "US",
            "telephone_number": "423-630-7001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "127 Health Care Dr",
            "address_purpose": "LOCATION",
            "city": "Pennington Gap",
            "state": "VA",
            "postal_code": "242772853",
            "country_code": "US",
            "telephone_number": "276-299-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 Med Tech Pkwy",
            "address_purpose": "LOCATION",
            "city": "Johnson City",
            "state": "TN",
            "postal_code": "376042277",
            "country_code": "US",
            "telephone_number": "423-302-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1990 Holton Ave E",
            "address_purpose": "LOCATION",
            "city": "Big Stone Gap",
            "state": "VA",
            "postal_code": "242193350",
            "country_code": "US",
            "telephone_number": "276-523-3111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "312 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Clintwood",
            "state": "VA",
            "postal_code": "242286786",
            "country_code": "US",
            "telephone_number": "276-926-0300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "58 Carroll Street",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "VA",
            "postal_code": "242664510",
            "country_code": "US",
            "telephone_number": "276-883-8000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "245 Medical Park Dr",
            "address_purpose": "LOCATION",
            "city": "Marion",
            "state": "VA",
            "postal_code": "243541100",
            "country_code": "US",
            "telephone_number": "276-378-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16000 Johnston Memorial Dr",
            "address_purpose": "LOCATION",
            "city": "Abingdon",
            "state": "VA",
            "postal_code": "242117664",
            "country_code": "US",
            "telephone_number": "276-258-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15790 Paul Vega Dr",
            "address_purpose": "LOCATION",
            "city": "Hammond",
            "state": "LA",
            "postal_code": "704031436",
            "country_code": "US",
            "telephone_number": "985-230-1683",
            "fax_number": "985-230-6652",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "130 W Ravine Rd",
            "address_purpose": "LOCATION",
            "city": "Kingsport",
            "state": "TN",
            "postal_code": "376603837",
            "country_code": "US",
            "telephone_number": "423-224-3150",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2000 Brookside Dr",
            "address_purpose": "LOCATION",
            "city": "Kingsport",
            "state": "TN",
            "postal_code": "376604627",
            "country_code": "US",
            "telephone_number": "423-857-7000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1 Medical Park Blvd",
            "address_purpose": "LOCATION",
            "city": "Bristol",
            "state": "TN",
            "postal_code": "376207430",
            "country_code": "US",
            "telephone_number": "423-844-1121",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 N State Of Franklin Rd",
            "address_purpose": "LOCATION",
            "city": "Johnson City",
            "state": "TN",
            "postal_code": "376046035",
            "country_code": "US",
            "telephone_number": "423-323-6900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "851 Locust St",
            "address_purpose": "LOCATION",
            "city": "Rogersville",
            "state": "TN",
            "postal_code": "378572407",
            "country_code": "US",
            "telephone_number": "423-921-7000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1519 Main St",
            "address_purpose": "LOCATION",
            "city": "Sneedville",
            "state": "TN",
            "postal_code": "378693657",
            "country_code": "US",
            "telephone_number": "423-733-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1420 Tusculum Blvd",
            "address_purpose": "LOCATION",
            "city": "Greeneville",
            "state": "TN",
            "postal_code": "377454279",
            "country_code": "US",
            "telephone_number": "423-787-5000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1501 W Elk Ave",
            "address_purpose": "LOCATION",
            "city": "Elizabethton",
            "state": "TN",
            "postal_code": "376432874",
            "country_code": "US",
            "telephone_number": "423-542-1300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2030 Temple Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Erwin",
            "state": "TN",
            "postal_code": "376508721",
            "country_code": "US",
            "telephone_number": "423-743-3141",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1901 S Shady St",
            "address_purpose": "LOCATION",
            "city": "Mountain City",
            "state": "TN",
            "postal_code": "376832021",
            "country_code": "US",
            "telephone_number": "423-727-1100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1701 S Creasy Ln",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "IN",
            "postal_code": "479054972",
            "country_code": "US",
            "telephone_number": "765-502-4400",
            "fax_number": "765-502-4401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SYROW",
        "first_name": "LARISA",
        "name_prefix": "Miss",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-09-09",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "LA",
            "license": "339880",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME157100",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TN",
            "license": "71857",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "VA",
            "license": "0101282845",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IN",
            "license": "01093360A",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "PA",
            "license": "MD441860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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Sources for this page

Verify at the official NPI Registry.