Active NPI
John Pires Ervoes, MD
- Pediatrics Physician
- Syracuse, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 271374
- Practice address
- 750 East Adams St
Syracuse, NY 13210 - Phone
- (315) 464-5450
- Fax
- (315) 464-6322
- NPI assigned
- Apr 10, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME128382 | FL | |
| Hospitalist Physician | 208M00000X | 271374 | NY | |
| Pediatrics Physician | 208000000X | 271374 | NY | Primary |
Addresses
Primary practice location
750 East Adams St
Syracuse, NY 13210
Mailing address
251 Salina Meadows Pkwy Ste 100
Syracuse, NY 13212-4516
Phone (315) 464-2000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME128382 | FL | MD | Pediatrics Physician |
| 271374 | NY | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Service Group | Pediatrics | Current | Accepting new patients |
| Kaiser Foundation Health Plan of the Northwest | Current | Accepting new patients | |
| Kaiser Foundation Health Plan of the Northwest | Pediatrics | Current | Accepting new patients |
Locations
251 Salina Meadows Pkwy
Ste 100
Syracuse, NY 13212
Phone (315) 464-2000
750 E Adams St
Syracuse, NY 13210
Phone (315) 464-4363
9800 SE Sunnyside Rd
Clackamas, OR 97015
Phone (503) 571-2457
10100 SE Sunnyside Rd
Clackamas, OR 97015
Phone (503) 571-2946
2400 Lancaster Dr NE
Salem, OR 97305
Phone (503) 361-5400
Organizations & group practices 3
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.
-
- Pediatrics Physician
- Syracuse, NY
- NPI 1770539066
-
- General Practice Physician
- Portland, OR
- NPI 1184786527
Pediatrics
-
- Clinic/Center
- Hillsboro, OR
- NPI 1942718622
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581465600000",
"number": "1790928406",
"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 ST",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "13210",
"telephone_number": "315-464-5450",
"fax_number": "315-464-6322"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIRES ERVOES",
"first_name": "JOHN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-04-10",
"last_updated": "2020-02-12",
"certification_date": "2020-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME128382",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "NY",
"license": "271374",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "271374",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Syracuse, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.