Active NPI
Ian Felipe Gallegos Dargon, MD
- Internal Medicine Physician
- Syracuse, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 297884
- Practice address
- 750 East Adams St
Syracuse, NY 13210 - Phone
- (315) 464-5450
- Fax
- (315) 464-6322
- NPI assigned
- Mar 30, 2015
- Last updated
- Apr 21, 2023
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Internal Medicine Physician | 207R00000X | 297884 | NY | Primary |
| Pediatrics Physician | 208000000X | 297884 | NY | |
| Hospitalist Physician | 208M00000X | 290966 | MA |
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, MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Associated Physicians of Harvard Medical Faculty Physicians at Beth Is
Practice addresses (Care Compare)
275 Sandwich St
Plymouth, MA 02360-2183
Phone (508) 746-2000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 297884 | NY | MD | Pediatrics Physician |
Practice roles
Locations
330 Brookline Ave
Boston, MA 02215
Phone (617) 667-2000
680 Centre St
Brockton, MA 02302
Phone (508) 941-7400
115 Lincoln St
Framingham, MA 01702
Phone (508) 383-1000
199 Reedsdale Rd
Milton, MA 02186
Phone (617) 313-1000
101 Page St
New Bedford, MA 02740
Phone (508) 961-5425
275 Sandwich St
Plymouth, MA 02360
Phone (508) 746-2000
1001 W Fayette St
Ste 400
Syracuse, NY 13204
Phone (315) 472-1488
251 Salina Meadows Pkwy
Ste 100
Syracuse, NY 13212
Phone (315) 464-2000
4900 Broad Rd
Syracuse, NY 13215
Phone (315) 492-5011
4900 Broad Rd
Ste 4H
Syracuse, NY 13215
Phone (315) 492-5678
750 E Adams St
Syracuse, NY 13210
Phone (315) 464-4363
Interoperability endpoints
- idargon90455@direct.upstate.edu
- igallegosdargon253199@direct.bilh.masshiway.net
Organizations & group practices 15
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.
-
- Internal Medicine Physician
- Syracuse, NY
- NPI 1063468239
-
- Pediatrics Physician
- Syracuse, NY
- NPI 1770539066
-
- Hospitalist Physician
- Syracuse, NY
- NPI 1689620163
-
dba Medicine - APHMFP at BIDMC Inc.
- Internal Medicine Physician
- Boston, MA
- NPI 1497151773
-
dba APHMFP-Emergency Medicine
- Emergency Medical Services (Emergency Medicine) Physician
- Boston, MA
- NPI 1952358533
-
- Internal Medicine Physician
- Boston, MA
- NPI 1194765438
-
dba Sound Physicians
- Internal Medicine Physician
- Brockton, MA
- NPI 1740678408
-
- Hematology & Oncology Physician
- Homer, NY
- NPI 1205104262
-
dba Associated Physicians of HMFP
- Multi-Specialty Clinic/Center
- Boston, MA
- NPI 1861216038
-
dba Emergency Medicine - HMFP at BIDMC
- Emergency Medicine Physician
- Boston, MA
- NPI 1316987993
-
dba Sound Physicians
- Internal Medicine Physician
- North Adams, MA
- NPI 1205164951
-
- Internal Medicine Physician
- Stoughton, MA
- NPI 1245784446
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Plymouth, MA
- NPI 1043299001
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427673600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682035200000",
"number": "1801281688",
"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": "GALLEGOS DARGON",
"first_name": "IAN",
"middle_name": "FELIPE",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-03-30",
"last_updated": "2023-04-21",
"certification_date": "2023-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "297884",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "297884",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "MA",
"license": "290966",
"primary": false
}
],
"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 Apr 21, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.