Individual provider Active NPI

Anthony Joseph Klimek III, MD

  • Emergency Medicine Physician
  • Syracuse, NY
National Provider Identifier
1720378342
Registry record updated Jan 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
276690-1 Issued in NY
Practice address
750 E Adams St
Syracuse, NY 13210-2306
Phone
(315) 464-5136
NPI assigned
Apr 16, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 276690-1 NY Primary
Sports Medicine (Emergency Medicine) Physician 207PS0010X 276690 NY

Addresses

Primary practice location

750 E Adams St
Syracuse, NY 13210-2306

Mailing address

1904 Genesee St
Utica, NY 13502-5646

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
I20140922000286 NY Practitioner - Emergency MedicinePractitioner - Family PracticePractitioner - Sports Medicine 2062631245 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Sports Medicine
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physicians Medical Associates New York PCGroup PAC ID 7618310368, 100 clinicians
Upstate Emergency Medicine, IncGroup PAC ID 2466443494, 60 clinicians

Practice addresses (Care Compare)

301 Prospect Ave
Syracuse, NY 13203-1807
Phone (315) 448-5111

750 E Adams St
Syracuse, NY 13210-2342
Phone (315) 464-4363

Hospital & facility affiliations

  • St Joseph'S Hospital Health Center Hospital, Syracuse, NY, CCN 330140
  • University Hospital S U N Y Health Science Center Hospital, Syracuse, NY, CCN 330241
  • Colonial Park Rehabilitation and Nursing Center Nursing home, Rome, NY, CCN 335233

Merit-based Incentive Payment System (MIPS)

Final score
95.37 of 100Reported as group
Quality
86.1
Promoting interoperability
100
Improvement activities
40
Cost
70.12

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
276690-1NYMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians Medical Associates New York PC Emergency Medicine CurrentSince Jan 1, 2024 Accepting new patients
MVHS Inc CurrentSince Sep 3, 2014 Accepting new patients
Emergency Physician Services of New York, P.C. Emergency Medicine CurrentSince Aug 1, 2014 Accepting new patients
Upstate Emergency Medicine, Inc Emergency Medicine CurrentSince Sep 1, 2014 Accepting new patients
Port City Emergency Physicians LLP Emergency Medicine Current Accepting new patients
Physicians Medical Associates New York PC Emergency Medicine CurrentSince Jan 1, 2024 Accepting new patients
MVHS Inc CurrentSince Sep 3, 2014 Accepting new patients
Port City Emergency Physicians LLP Emergency Medicine CurrentSince Sep 1, 2016 Accepting new patients
RRNC LLC Past Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

7375 Oswego Rd
#1
Liverpool, NY 13090
Phone (315) 291-0064

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

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

4900 Broad Rd
Ste 2G
Syracuse, NY 13215
Phone (315) 299-5313

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

2209 Genesee St
Utica, NY 13501
Phone (315) 798-8100

1676 Sunset Ave
Utica, NY 13502
Phone (315) 624-5567

1904 Genesee St
Utica, NY 13502
Phone (315) 793-8856

Interoperability endpoints

  • Direct secure messaging: aklimek2933514@direct.trinity-health.org
  • Direct secure messaging: aklimek5516@direct.upstate.edu

Organizations & group practices 9

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.

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": "1302912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706140800000",
    "number": "1720378342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1904 GENESEE ST",
            "city": "UTICA",
            "state": "NY",
            "postal_code": "135025646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 E ADAMS ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132102306",
            "telephone_number": "315-464-5136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLIMEK",
        "first_name": "ANTHONY",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-16",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "276690-1",
            "primary": true
        },
        {
            "code": "207PS0010X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Sports Medicine",
            "state": "NY",
            "license": "276690",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

Verify at the official NPI Registry.