Active NPI
Matthew D Mason, MD
- Pediatric Urology Physician
- Syracuse, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Urology Physician
- License
- 279617
- Practice address
- 750 E Adams St
Upstate Medical University - Department of Urology
Syracuse, NY 13210-2306 - Phone
- (315) 464-1500
- Fax
- (315) 464-6117
- NPI assigned
- May 8, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Urology Physician | 2088P0231X | 279617 | NY | Primary |
Addresses
Primary practice location
750 E Adams St
Upstate Medical University - Department of Urology
Syracuse, NY 13210-2306
Mailing address
750 E Adams St
Upstate Medical University - Department of Urology
Syracuse, NY 13210-2306
Phone (315) 464-1500
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4900 Broad Rd
Syracuse, NY 13215-2265
Phone (315) 464-6106
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.32 of 100
- Quality
- 89.28
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.3
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Upstate Urology, Inc. | Current | Accepting new patients | |
| University Surgical Associates, LLP | Past | Accepting new patients |
Locations
725 Irving Ave
Ste 403
Syracuse, NY 13210
Phone (315) 464-6060
4900 Broad Rd
Ste 2I
Syracuse, NY 13215
Phone (315) 464-6106
750 E Adams St
Syracuse, NY 13210
Phone (315) 464-4363
Interoperability endpoints
- mmason48745@direct.upstate.edu
Organizations & group practices 2
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.
-
- Urology Physician
- Syracuse, NY
- NPI 1003062043
-
- Surgery Physician
- Syracuse, NY
- NPI 1376590117
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Syracuse, NY
- NPI 1578554630
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1431820800000",
"number": "1821264946",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "750 E ADAMS ST",
"address_2": "UPSTATE MEDICAL UNIVERSITY - DEPARTMENT OF UROLOGY",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132102306",
"telephone_number": "315-464-1500",
"fax_number": "315-464-6117"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "750 E ADAMS ST",
"address_2": "UPSTATE MEDICAL UNIVERSITY - DEPARTMENT OF UROLOGY",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132102306",
"telephone_number": "315-464-1500",
"fax_number": "315-464-6117"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MASON",
"first_name": "MATTHEW",
"middle_name": "D",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-05-08",
"last_updated": "2015-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "2088P0231X",
"taxonomy_group": "",
"desc": "Urology, Pediatric Urology",
"state": "NY",
"license": "279617",
"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 May 17, 2015; 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.