Individual provider Active NPI

Kavya Mirchia, M.D.

  • Diagnostic Radiology Physician
  • Syracuse, NY
National Provider Identifier
1821405689
Registry record updated Jan 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
306507-1 Issued in NY
Practice address
750 E Adams St
Syracuse, NY 13210-2306
Phone
(315) 464-7439
NPI assigned
Jul 14, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 306507-1 NY Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

750 E Adams St
Syracuse, NY 13210-2306

Mailing address

500 Gypsy LN
Youngstown, OH 44504-1315
Phone (405) 371-1353

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, OK, CA, CT4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20201022002686 NY Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 5496091324 Reassigns benefits to 1 organization
I20231208002332 OK Practitioner - Diagnostic Radiology 5496091324 Reassigns benefits to 1 organization
I20260311001301 CA Practitioner - Diagnostic Radiology 5496091324 Reassigns benefits to 3 organizations
I20260312001706 CT Practitioner - Diagnostic Radiology 5496091324 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Connecticut Imaging Partners LLCGroup PAC ID 4183649098, 105 clinicians
Ou Health Partners IncGroup PAC ID 5991105876, 1,167 clinicians
Tic LLCGroup PAC ID 4880972819, 52 clinicians
Farmington Imaging Center LLCGroup PAC ID 7719265651, 68 clinicians
Jefferson Radiology PCGroup PAC ID 8729982525, 121 clinicians

Practice addresses (Care Compare)

100 Hazard Ave
Suite 100
Enfield, CT 06082-5447
Phone (860) 289-3375

1200 Childrens Ave
Oklahoma City, OK 73104-4637
Phone (405) 271-2669

2367 32ND Ave
San Francisco, CA 94116-2207
Phone (860) 289-3375

399 Farmington Ave
Suite 130
Farmington, CT 06032-1944
Phone (860) 289-3375

6 Fieldstone CMNS
Suite E
Tolland, CT 06084-3419
Phone (860) 896-4848

80 Semour St
Hartford, CT 06106-3315
Phone (860) 545-2870

800 NE 10TH St
Ouhp Stephenson Cancer Center
Oklahoma City, OK 73104-5418
Phone (405) 271-1112

825 NE 10TH St
Oklahoma City, OK 73104-5417
Phone (405) 271-4700

900 NE 10TH St
Ouhp Family Medicine
Oklahoma City, OK 73104-5420
Phone (572) 244-0065

Hospital & facility affiliations

  • O U Medical Center Hospital, Oklahoma City, OK, CCN 370093
  • Hartford Hospital Hospital, Hartford, CT, CCN 070025
  • Griffin Hospital Hospital, Derby, CT, CCN 070031
  • Manchester Memorial Hospital Hospital, Manchester, CT, CCN 070027
  • Day Kimball Hospital Hospital, Putnam, CT, CCN 070003

Merit-based Incentive Payment System (MIPS)

Final score
77.26 of 100Reported as group
Quality
53.73
Promoting interoperability
100
Improvement activities
40
Cost
70.48

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
306507-1NYMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tic, LLC Diagnostic Radiology CurrentSince Feb 3, 2026 Accepting new patients
Ou Health Partners, Inc CurrentSince Nov 16, 2023 Accepting new patients
Connecticut Imaging Partners, LLC Diagnostic Radiology CurrentSince Jan 1, 2026 Accepting new patients
Ou Health Partners, Inc CurrentSince Nov 16, 2023 Accepting new patients
Farmington Imaging Center, LLC Diagnostic Radiology CurrentSince Feb 3, 2026 Accepting new patients
Jefferson Radiology, PC Diagnostic Radiology CurrentSince Feb 3, 2026 Accepting new patients
University Radiology Associates, LLP Diagnostic Radiology CurrentSince Nov 1, 2020 Accepting new patients

Locations

100 Hazard Ave
Ste 100
Enfield, CT 06082
Phone (860) 696-2380

399 Farmington Ave
Ste 130
Farmington, CT 06032

80 Seymour St
Hartford, CT 06106
Phone (860) 545-2249

6 Fieldstone Cmns
Ste E
Tolland, CT 06084
Phone (860) 896-4847

224 Harrison St
Ste 601
Syracuse, NY 13202
Phone (315) 464-6672

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

940 NE 13th St
#3G3210
Oklahoma City, OK 73104
Phone (405) 271-5125

900 NE 10th St
Oklahoma City, OK 73104
Phone (405) 271-2230

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/ei-jefferson

Organizations & group practices 7

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 7

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": "1405296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643241600000",
    "number": "1821405689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 GYPSY LN",
            "city": "YOUNGSTOWN",
            "state": "OH",
            "postal_code": "445041315",
            "telephone_number": "405-371-1353"
        },
        {
            "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": "315-464-7439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRCHIA",
        "first_name": "KAVYA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-14",
        "last_updated": "2022-01-27",
        "certification_date": "2022-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "306507-1",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

Verify at the official NPI Registry.