Individual provider Active NPI

Mark Moosikasuwan, M.D.

  • Anesthesiology Physician
  • Oneida, NY
National Provider Identifier
1710994983
Registry record updated May 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
229900 Issued in NY
Practice address
321 Genesee St
Oneida, NY 13421-2611
Phone
(315) 363-6000
NPI assigned
Aug 1, 2006
Last updated
May 29, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 229900 NY Primary

Addresses

Primary practice location

321 Genesee St
Oneida, NY 13421-2611

Mailing address

580 Seneca St Apt I5
Oneida, NY 13421-2635
Phone (917) 596-6139

Other practice location 1

1500 N James St
Rome, NY 13440-2844
Phone (315) 388-7000

Other practice location 2

736 Irving Ave
Syracuse, NY 13210-1602
Phone (315) 470-7111

Other practice location 3

5801 E Taft Rd
Syracuse, NY 13212-3291
Phone (315) 418-4140

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, GA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20040802001621 NY Practitioner - Anesthesiology 7810968013 Reassigns benefits to 11 organizations
I20150818003892 GA Practitioner - Anesthesiology 7810968013 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Albert Einstein College of Medicine of Yeshiva University, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Guthrie Medical Group PCGroup PAC ID 6002728656, 795 clinicians
Cayuga Medical Associates PCGroup PAC ID 6709897960, 278 clinicians
North American Partners in Anesthesia LLPGroup PAC ID 7719885771, 427 clinicians
Jefferson Anesthesiologist Services PCGroup PAC ID 0840289260, 37 clinicians

Practice addresses (Care Compare)

1 Guthrie Dr
Corning, NY 14830-3696
Phone (607) 973-7200

101 Dates Dr
Ithaca, NY 14850-1342
Phone (607) 274-4296

220 Steuben St
Montour Falls, NY 14865-9740
Phone (607) 210-1968

310 Taughannock Blvd
Suite 4
Ithaca, NY 14850-3251
Phone (607) 269-0100

5801 E Taft Rd
Syracuse, NY 13212-3291
Phone (315) 418-4140

830 Washington St
Watertown, NY 13601-4034
Phone (315) 785-8509

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.27 of 100Reported as apm
Quality
82.87
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
229900NYMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Anesthesia of New York, P.C. Anesthesiology CurrentSince Jul 15, 2023 Accepting new patients
Guthrie Medical Group, P.C. CurrentSince Dec 1, 2025 Accepting new patients
Guthrie Medical Group, P.C. Anesthesiology CurrentSince Dec 1, 2025 Accepting new patients
Rome Memorial Hospital, Inc. CurrentSince Jan 2, 2025 Accepting new patients
Cortland ENT, PC CurrentSince Nov 1, 2025 Accepting new patients
Griffiss Ec, LLC Anesthesiology CurrentSince Feb 1, 2021 Accepting new patients
Jefferson Anesthesiologist Services PC Anesthesiology CurrentSince Mar 1, 2025 Accepting new patients
Concordia Anesthesiology, Inc Anesthesiology CurrentSince Apr 25, 2016 Accepting new patients
Schuyler Hospital Inc CurrentSince Jan 14, 2026 Accepting new patients
North American Partners in Anesthesia LLP Anesthesiology CurrentSince Jun 1, 2025 Accepting new patients
Cayuga Medical Associates, PC CurrentSince Jul 1, 2024 Accepting new patients
Schuyler Hospital Inc CurrentSince Jul 1, 2024 Accepting new patients
Schuyler Hospital Inc CurrentSince Jul 1, 2024 Accepting new patients
Camillus Anesthesia PLLC Anesthesiology CurrentSince Apr 1, 2024 Accepting new patients
Haider Pain Management PC Anesthesiology CurrentSince Aug 24, 2015 Accepting new patients
Rome Memorial Hospital, Inc Anesthesiology CurrentSince Jan 2, 2025 Accepting new patients
Greenwich Medical Anesthesia, P.C. Anesthesiology Past Accepting new patients

Locations

745 Poplar Rd
Newnan, GA 30265
Phone (404) 478-8785

211 Prime Pt
Ste 2H
Peachtree Cty, GA 30269
Phone (770) 542-7636

11650 Alpharetta Hwy
Roswell, GA 30076
Phone (770) 543-8132

316 W Gordon St
Thomaston, GA 30286
Phone (770) 542-7636

7 Southwoods Blvd
Ste 4
Albany, NY 12211

5700 W Genesee St
Ste 11
Camillus, NY 13031
Phone (315) 701-9378

1 Guthrie Dr
Corning, NY 14830
Phone (607) 937-7130

130 Center Way
Corning, NY 14830
Phone (607) 936-9971

64 Pomeroy St
Cortland, NY 13045
Phone (607) 662-4521

10201 66th Rd
Forest Hills, NY 11375
Phone (718) 830-4091

310 Taughannock Blvd
Fl 4
Ithaca, NY 14850
Phone (607) 269-0100

207 Foote Ave
Jamestown, NY 14701
Phone (716) 487-0141

1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796

220 Steuben St
Montour Falls, NY 14865
Phone (607) 535-7121

1510 Jericho Tpke
New Hyde Park, NY 11040
Phone (516) 216-5341

321 Genesee St
Oneida, NY 13421
Phone (315) 361-2020

105 Dart Cir
Rome, NY 13441
Phone (315) 334-6918

1500 N James St
Rome, NY 13440
Phone (315) 338-7000

2233 State Route 86
Saranac Lake, NY 12983
Phone (518) 891-4141

190 Intrepid Ln
Syracuse, NY 13205
Phone (315) 498-6200

5801 E Taft Rd
Syracuse, NY 13212
Phone (315) 418-4140

736 Irving Ave
Syracuse, NY 13210
Phone (315) 470-7111

830 Washington St
Watertown, NY 13601
Phone (315) 785-4000

Organizations & group practices 18

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.

View all 18

Hospital & facility affiliations 2

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": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748476800000",
    "number": "1710994983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "580 SENECA ST APT I5",
            "city": "ONEIDA",
            "state": "NY",
            "postal_code": "134212635",
            "telephone_number": "917-596-6139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 GENESEE ST",
            "city": "ONEIDA",
            "state": "NY",
            "postal_code": "134212611",
            "telephone_number": "315-363-6000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 N James St",
            "address_purpose": "LOCATION",
            "city": "Rome",
            "state": "NY",
            "postal_code": "134402844",
            "country_code": "US",
            "telephone_number": "315-388-7000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "736 Irving Ave",
            "address_purpose": "LOCATION",
            "city": "Syracuse",
            "state": "NY",
            "postal_code": "132101602",
            "country_code": "US",
            "telephone_number": "315-470-7111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5801 E Taft Rd",
            "address_purpose": "LOCATION",
            "city": "Syracuse",
            "state": "NY",
            "postal_code": "132123291",
            "country_code": "US",
            "telephone_number": "315-418-4140",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOOSIKASUWAN",
        "first_name": "MARK",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2025-05-29",
        "certification_date": "2025-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "229900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oneida, NY

Sources for this page

Verify at the official NPI Registry.