Individual provider Active NPI

Liliana Banari, MD

  • Neurology with Special Qualifications in Child Neurology Physician
  • Syracuse, NY
National Provider Identifier
1700143344
Registry record updated Jun 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology with Special Qualifications in Child Neurology PhysicianTaxonomy code 2084N0402X
License
332835 Issued in NY
Practice address
750 East Adams Street
Syracuse, NY 13210
Phone
(315) 464-4627
Fax
(315) 464-5355
NPI assigned
Apr 20, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X 332835 NY Primary
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X 61347 SC
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X 70132 MN
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X 0101276790 VA
Neurology with Special Qualifications in Child Neurology Physician 2084N0402X 34297 WV

Addresses

Primary practice location

750 East Adams Street
Syracuse, NY 13210

Mailing address

251 Salina Meadows Pkwy Ste 100
Syracuse, NY 13212-4516
Phone (315) 464-2000

Other practice location 1

1000 E Broad St
Richmond, VA 23219-1930
Phone (804) 828-2467

Other practice location 2

830 Pennsylvania Ave Ste 405
Charleston, WV 25302-3390
Phone (304) 388-6950

Other identifiers 1

IdentifierTypeStateIssuer
1700143344MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, MN, VA, NY, WV5 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 5

Enrollment IDStateProvider typePAC IDDetails
I20181206002576 SC Practitioner - NeurologyPractitioner - Pediatric Medicine 0547504235 Reassigns benefits to 3 organizations
I20211005000524 MN Practitioner - Neurology 0547504235 Reassigns benefits to 1 organization
I20241010003740 VA Practitioner - Neurology 0547504235 Reassigns benefits to 1 organization
I20241016003120 NY Practitioner - Neurology 0547504235 Reassigns benefits to 1 organization
I20250611002870 WV Practitioner - Neurology 0547504235 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

830 Pennsylvania Ave
Suite 405
Charleston, WV 25302-3390
Phone (304) 388-1552

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
332835NYMDNeurology with Special Qualifications in Child Neurology Physician
61347SCMDNeurology with Special Qualifications in Child Neurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
MCV Associated Physicians CurrentSince Jul 28, 2024 Accepting new patients
Charleston Area Medical Center Inc CurrentSince Apr 10, 2025 Accepting new patients
Georgetown Memorial Hospital CurrentSince May 22, 2019 Accepting new patients
Gillette Children's Specialty Healthcare CurrentSince Nov 21, 2024 Accepting new patients
Charleston Area Medical Center, Inc. CurrentSince Apr 10, 2025 Accepting new patients
University Medical Associates of the Medical University of South Carol Current Accepting new patients
Neurology Medical Service Group, LLP CurrentSince Sep 10, 2024 Accepting new patients
Gillette Children's Specialty Healthcare CurrentSince Nov 21, 2024 Accepting new patients
Georgetown Memorial Hospital CurrentSince May 22, 2019 Accepting new patients
Waccamaw Community Hospital CurrentSince May 22, 2019 Accepting new patients
University Medical Associates of the Medical University of South Carol CurrentSince Oct 11, 2018 Accepting new patients
Gillette Children's Specialty Healthcare Past Accepting new patients

Locations

305 E Nicollet Blvd
Ste 200
Burnsville, MN 55337
Phone (952) 223-3400

200 University Ave E
Saint Paul, MN 55101
Phone (651) 291-2848

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

90 Presidential Plz
#4
Syracuse, NY 13202
Phone (315) 464-4243

171 Ashley Ave
Charleston, SC 29425
Phone (843) 792-2123

2 Medical Park Rd
Ste 506
Columbia, SC 29203
Phone (803) 434-3930

606 Black River Rd
Georgetown, SC 29440
Phone (843) 527-7000

4070 Highway 17
Murrells Inlt, SC 29576
Phone (843) 357-5100

401 N 11th St
Richmond, VA 23219
Phone (804) 828-4409

1000 E Broad St
Richmond, VA 23219

830 Pennsylvania Ave
Ste 405
Charleston, WV 25302
Phone (304) 345-4770

400 Association Dr
Ste 102
Charleston, WV 25311
Phone (304) 388-1762

501 Morris St
Charleston, WV 25301
Phone (304) 348-6293

800 Pennsylvania Ave
Charleston, WV 25302
Phone (304) 388-2550

Interoperability endpoints

  • Direct secure messaging: lbanari160736@direct.upstate.edu

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1334880000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780444800000",
    "number": "1700143344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 SALINA MEADOWS PKWY STE 100",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132124516",
            "telephone_number": "315-464-2000",
            "fax_number": "315-464-2010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 EAST ADAMS STREET",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "13210",
            "telephone_number": "315-464-4627",
            "fax_number": "315-464-5355"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 E Broad St",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232191930",
            "country_code": "US",
            "telephone_number": "804-828-2467",
            "fax_number": "804-828-6690",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "830 Pennsylvania Ave Ste 405",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "WV",
            "postal_code": "253023390",
            "country_code": "US",
            "telephone_number": "304-388-6950",
            "fax_number": "304-388-6955",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BANARI",
        "first_name": "LILIANA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-20",
        "last_updated": "2026-06-03",
        "certification_date": "2026-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "NY",
            "license": "332835",
            "primary": true
        },
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "SC",
            "license": "61347",
            "primary": false
        },
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "MN",
            "license": "70132",
            "primary": false
        },
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "VA",
            "license": "0101276790",
            "primary": false
        },
        {
            "code": "2084N0402X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology",
            "state": "WV",
            "license": "34297",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1700143344",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

Verify at the official NPI Registry.