NPIMap

Individual provider Active NPI

Pawan Rao, M.D.

  • Nephrology Physician
  • North Syracuse, NY
National Provider Identifier
1730283144
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
220651 Issued in NY
Practice address
6846 Buckley Rd
North Syracuse, NY 13212-4264
Phone
(315) 410-6400
Fax
(315) 410-6410
NPI assigned
Sep 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 220651 NY Primary

Addresses

Primary practice location

6846 Buckley Rd
North Syracuse, NY 13212-4264

Mailing address

6846 Buckley Rd
North Syracuse, NY 13212-4264
Phone (315) 410-6400

Other identifiers 1

IdentifierTypeStateIssuer
02365882MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040611000627 NY Practitioner - NephrologyPractitioner - Internal Medicine 5799768560 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nephrology Hypertension Associates of Cny, PCGroup PAC ID 4082513502, 4 clinicians

Practice addresses (Care Compare)

6846 Buckley Rd
North Syracuse, NY 13212-4264

6846 Buckley Rd
North Syracuse, NY 13212-4275
Phone (315) 410-6400

Hospital & facility affiliations

  • FMC St. Joseph'S - Regional Dialysis facility, Syracuse, NY, CCN 332664
  • FMC St. Joseph'S - Cortland Dialysis facility, Cortland, NY, CCN 332668
  • FMC St. Joseph'S Dialysis - Seneca Dialysis facility, Liverpool, NY, CCN 332665
  • FMC St. Joseph'S - Northeast Dialysis facility, Fayetteville, NY, CCN 332667
  • DaVita Central New York Dialysis Center Dialysis facility, Syracuse, NY, CCN 332615
  • Centerwell Home Health Home health agency, Liverpool, NY, CCN 337255
  • Hospice of Central New York Hospice, Liverpool, NY, CCN 331511
  • St Joseph'S Hospital Health Center Hospital, Syracuse, NY, CCN 330140
  • Guthrie Cortland Regional Medical Center Hospital, Cortland, NY, CCN 330175
  • Crouse Hospital Hospital, Syracuse, NY, CCN 330203
  • Oswego Hospital Hospital, Oswego, NY, CCN 330218
  • University Hospital S U N Y Health Science Center Hospital, Syracuse, NY, CCN 330241

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Nephrology Hypertension Associates of Cny,P.C. Nephrology CurrentSince Jul 1, 2003 Accepting new patients
Nephrology Associates of Syracuse, P.C. Nephrology Past Accepting new patients
Liverpool LD, LLC PastSince Apr 1, 2015 Accepting new patients
SJLS, LLC PastSince Dec 1, 2014 Accepting new patients

Locations

61 Delano St
Pulaski, NY 13142
Phone (315) 298-4274

6846 Buckley Rd
Syracuse, NY 13212
Phone (315) 410-6400

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

Organizations & group practices 4

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 11

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": "1157673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1730283144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6846 BUCKLEY RD",
            "city": "NORTH SYRACUSE",
            "state": "NY",
            "postal_code": "132124264",
            "telephone_number": "315-410-6400",
            "fax_number": "315-410-6410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6846 BUCKLEY RD",
            "city": "NORTH SYRACUSE",
            "state": "NY",
            "postal_code": "132124264",
            "telephone_number": "315-410-6400",
            "fax_number": "315-410-6410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAO",
        "first_name": "PAWAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "220651",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02365882",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Syracuse, NY

Sources for this page

Verify at the official NPI Registry.