Individual provider Active NPI

Christopher Larussa, M.D.

  • Obstetrics & Gynecology Physician
  • Syracuse, NY
National Provider Identifier
1710977616
Registry record updated Dec 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
2243741 Issued in NY
Practice address
770 James St
Syracuse, NY 13203-2117
Phone
(315) 422-2222
Fax
(315) 472-8497
NPI assigned
Oct 24, 2005
Last updated
Dec 28, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 28, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 2243741 NY Primary

Addresses

Primary practice location

770 James St
Syracuse, NY 13203-2117

Mailing address

792 N Main St
Suite 100a
North Syracuse, NY 13212-1644
Phone (315) 423-9722

Other identifiers 1

IdentifierTypeStateIssuer
02253565MedicaidNY

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
I20111114000436 NY Practitioner - Obstetrics/Gynecology 8325212160 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Alabama School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Associates for Women's Medicine PLLCGroup PAC ID 4880677400, 17 clinicians

Practice addresses (Care Compare)

4302 Medical Ctr Dr
Suite 302
Fayetteville, NY 13066-6625
Phone (315) 422-2222

792 /2 N Main St
North Syracuse, NY 13212-1670
Phone (315) 701-0500

792 N Main St
North Syracuse, NY 13212-1661
Phone (315) 703-8001

792 N Main St
North Syracuse, NY 13212-1673
Phone (315) 422-2222

935 James St
Syracuse, NY 13203-2502
Phone (315) 422-2222

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2243741NYMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Joseph's Physician Health, P.C. CurrentSince Oct 21, 2017 Accepting new patients
St Josephs Hospital Health Center CurrentSince Jan 1, 2020 Accepting new patients
St Joseph's Hospital Health Center Obstetrics & Gynecology CurrentSince Jan 1, 2020 Accepting new patients
Associates for Women's Medicine PLLC Obstetrics & Gynecology CurrentSince Jul 1, 2002 Accepting new patients
St Josephs Medical PC CurrentSince Oct 1, 2018 Accepting new patients
Physicians for Women Obstetrics & Gynecology PastSince Aug 2, 1996 Accepting new patients

Locations

4820 W Taft Rd
Ste 208
Liverpool, NY 13088
Phone (315) 413-0004

5100 W Taft Rd
Ste 2T
Liverpool, NY 13088
Phone (315) 744-1592

104 Union Ave
Syracuse, NY 13203
Phone (315) 422-4442

301 Prospect Ave
Syracuse, NY 13203
Phone (315) 448-5111

301 Prospect Ave
Ste 706
Syracuse, NY 13203
Phone (315) 703-5200

792 N Main St
Syracuse, NY 13212
Phone (315) 458-8700

792 N Main St
Ste 100A
Syracuse, NY 13212

Interoperability endpoints

  • Direct secure messaging: christopher.larussamd.awm@direct.awm.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 6

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 3

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": "1130112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1293494400000",
    "number": "1710977616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "792 N MAIN ST",
            "address_2": "SUITE 100A",
            "city": "NORTH SYRACUSE",
            "state": "NY",
            "postal_code": "132121644",
            "telephone_number": "315-423-9722",
            "fax_number": "315-423-9687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 JAMES ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132032117",
            "telephone_number": "315-422-2222",
            "fax_number": "315-472-8497"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARUSSA",
        "first_name": "CHRISTOPHER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-24",
        "last_updated": "2010-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "2243741",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02253565",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

Verify at the official NPI Registry.