Individual provider Active NPI

Sanjeev Kumar Verma, MD

  • Anesthesiology Physician
  • Fulton, NY
National Provider Identifier
1669469912
Registry record updated May 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
186598 Issued in NY
Practice address
510 S 4TH St
Al Lee Memorial Hospital
Fulton, NY 13069-2904
Phone
(315) 591-9400
NPI assigned
Oct 3, 2005
Last updated
May 6, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 186598 NY Primary
Critical Care Medicine (Anesthesiology) Physician 207LC0200X 186598 NY
Emergency Medicine Physician 207P00000X 186598 NY
Internal Medicine Physician 207R00000X 186598 NY

Addresses

Primary practice location

510 S 4TH St
Al Lee Memorial Hospital
Fulton, NY 13069-2904

Mailing address

2316 James St
Syracuse, NY 13206-2839
Phone (315) 463-5107

Other practice location 1

110 W 6th St
Oswego, NY 13126-2598
Phone (315) 349-5511

Other practice location 2

3045 East Ave
Central Square, NY 13036-2611
Phone (315) 668-5240

Other identifiers 2

IdentifierTypeStateIssuer
01613698MedicaidNY
3837085OtherECFMG

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
I20040701000590 NY Practitioner - Anesthesiology 6305823964 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oswego HospitalGroup PAC ID 4981686045, 59 clinicians

Practice addresses (Care Compare)

110 W 6TH St
Oswego, NY 13126-2507
Phone (315) 349-5511

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
186598NYMDCritical Care Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Delphi Healthcare PLLC Anesthesiology CurrentSince Oct 1, 2019 Accepting new patients
River Hospital, Inc. CurrentSince Oct 1, 2013 Accepting new patients
Port City Emergency Physicians LLP Emergency Medicine Current Accepting new patients
Oswego Hospital Anesthesiology CurrentSince Apr 30, 2009 Accepting new patients
Port City Emergency Physicians LLP Emergency Medicine CurrentSince Mar 1, 2009 Accepting new patients
Port City Emergency Physicians LLP Emergency Medicine CurrentSince Mar 1, 2009 Accepting new patients
River Hospital, Inc. CurrentSince Oct 1, 2013 Accepting new patients
Oswego Hospital CurrentSince Apr 30, 2009 Accepting new patients
Gamma Center, Inc PastSince Nov 1, 2004 Accepting new patients
Kaiyung Woo, MD PC Anesthesiology Past Accepting new patients

Locations

4 Fuller St
Alexandria Bay, NY 13607
Phone (315) 482-1277

3045 East Ave
Central Square, NY 13036
Phone (315) 668-1202

510 S 4th St
Fulton, NY 13069
Phone (315) 591-9442

845 Route 5 and 20
Irving, NY 14081
Phone (716) 593-1100

110 W 6th St
Oswego, NY 13126
Phone (315) 349-5511

7 Bridge St
Phoenix, NY 13135
Phone (315) 695-4100

Interoperability endpoints

  • Direct secure messaging: sverma@oswegohealth.hiemail.healtheconnections.org

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1128297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746489600000",
    "number": "1669469912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2316 JAMES ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132062839",
            "telephone_number": "315-463-5107",
            "fax_number": "315-463-6029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 S 4TH ST",
            "address_2": "AL LEE MEMORIAL HOSPITAL",
            "city": "FULTON",
            "state": "NY",
            "postal_code": "130692904",
            "telephone_number": "315-591-9400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 W 6th St",
            "address_purpose": "LOCATION",
            "city": "Oswego",
            "state": "NY",
            "postal_code": "131262598",
            "country_code": "US",
            "telephone_number": "315-349-5511",
            "fax_number": "315-349-5732",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3045 East Ave",
            "address_purpose": "LOCATION",
            "city": "Central Square",
            "state": "NY",
            "postal_code": "130362611",
            "country_code": "US",
            "telephone_number": "315-668-5240",
            "fax_number": "315-668-5242",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VERMA",
        "first_name": "SANJEEV",
        "middle_name": "KUMAR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-03",
        "last_updated": "2025-05-06",
        "certification_date": "2025-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "186598",
            "primary": true
        },
        {
            "code": "207LC0200X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Critical Care Medicine",
            "state": "NY",
            "license": "186598",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "186598",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "186598",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01613698",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ECFMG",
            "identifier": "3837085",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fulton, NY

Sources for this page

Verify at the official NPI Registry.