Active NPI
Debra A Buchan, MD
- Internal Medicine Physician
- Manlius, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 191058
- Practice address
- 4500 Pewter LN BLDG 1
Manlius, NY 13104 - Phone
- (315) 682-6600
- Fax
- (315) 682-0570
- NPI assigned
- Jun 15, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 191058 | NY | Primary |
Addresses
Primary practice location
4500 Pewter LN BLDG 1
Manlius, NY 13104
Mailing address
1001 W Fayette St Ste 400
Syracuse, NY 13204-2866
Phone (315) 682-6600
Other practice location 1
90 Presidential Plz
2nd Floor
Syracuse, NY 13202-2240
Phone (315) 464-5240
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01592016 | Medicaid | NY |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dbuchan@crousemed.medentdirect.com | Direct | Crouse Medical Practice, PLLC |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
4500 Pewter LN
Suite 1
Manlius, NY 13104-7704
Phone (315) 682-6600
Hospital & facility affiliations
- Centerwell Home Health
- Hospice of Central New York
- St Joseph'S Hospital Health Center
- Crouse Hospital
- University Hospital S U N Y Health Science Center
- Oneida Health Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Crouse Medical Practice PLLC | Current | Accepting new patients | |
| Crouse Medical Practice, PLLC | Internal Medicine | Current | Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
4500 Pewter Ln
Bldg 1
Manlius, NY 13104
Phone (315) 470-7409
736 Irving Ave
Syracuse, NY 13210
Phone (315) 470-7111
1001 W Fayette St
Ste 400
Syracuse, NY 13204
Phone (315) 472-1488
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Syracuse, NY
- NPI 1922321934
-
- Physician Assistant
- East Syracuse, NY
- NPI 1386990638
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Syracuse, NY
- NPI 1033107743
-
- General Acute Care Hospital
- Oneida, NY
- NPI 1962408203
-
- Home Health Agency
- Syracuse, NY
- NPI 1912939489
-
- General Acute Care Hospital
- Syracuse, NY
- NPI 1508815333
-
- General Acute Care Hospital
- Syracuse, NY
- NPI 1578554630
-
- Community Based Hospice Care Agency
- Liverpool, NY
- NPI 1912098666
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1615766400000",
"number": "1689618498",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 W FAYETTE ST STE 400",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132042866",
"telephone_number": "315-682-6600",
"fax_number": "315-682-0570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4500 PEWTER LN BLDG 1",
"city": "MANLIUS",
"state": "NY",
"postal_code": "13104",
"telephone_number": "315-682-6600",
"fax_number": "315-682-0570"
}
],
"practiceLocations": [
{
"address_1": "90 Presidential Plz",
"address_2": "2nd Floor",
"address_purpose": "LOCATION",
"city": "Syracuse",
"state": "NY",
"postal_code": "132022240",
"country_code": "US",
"telephone_number": "315-464-5240",
"fax_number": "315-464-3892",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BUCHAN",
"first_name": "DEBRA",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-15",
"last_updated": "2021-03-15",
"certification_date": "2021-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "191058",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01592016",
"state": "NY"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dbuchan@crousemed.medentdirect.com",
"affiliation": "Y",
"endpointDescription": "email address in Medent",
"affiliationName": "Crouse Medical Practice, PLLC",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "other",
"address_1": "4500 Pewter Ln Bldg 1",
"city": "Manlius",
"state": "NY",
"country_code": "US",
"postal_code": "13104",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Manlius, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.