Individual provider Active NPI

Renee E Mestad, MD

  • Obstetrics & Gynecology Physician
  • Syracuse, NY
National Provider Identifier
1831166586
Registry record updated Nov 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
257554 Issued in NY
Practice address
725 Irving Ave
Suite 600
Syracuse, NY 13210-1603
Phone
(315) 464-5162
Fax
(315) 464-4613
NPI assigned
Mar 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 24, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 257554 NY Primary

Addresses

Primary practice location

725 Irving Ave
Suite 600
Syracuse, NY 13210-1603

Mailing address

725 Irving Ave
Suite 600
Syracuse, NY 13210-1603
Phone (315) 464-5162

Other identifiers 1

IdentifierTypeStateIssuer
03251461MedicaidNY

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101026000163 NY Practitioner - Obstetrics/Gynecology 5890867022 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Kansas School of Med (KC/Wich/Sal), 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University OB/GYN AssociatesGroup PAC ID 9133117740, 36 clinicians

Practice addresses (Care Compare)

725 Irving Ave
Suite 600
Syracuse, NY 13210-1688
Phone (315) 464-5162

90 Presidential PLZ
FL 3
Syracuse, NY 13202-2240
Phone (315) 464-4458

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
257554NYMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Oneida Health Systems, Inc. CurrentSince Nov 1, 2023 Accepting new patients
University OB/GYN Associates Obstetrics & Gynecology CurrentSince Aug 2, 2010 Accepting new patients
Oneida Health Systems, Inc Current Accepting new patients
James Louis Pfeiff Obstetrics & Gynecology Current Accepting new patients
Arnot Medical Services PLLC Obstetrics & Gynecology CurrentSince Jul 24, 2022 Accepting new patients
Oneida Medical Services, PLLC Obstetrics & Gynecology CurrentSince Nov 1, 2023 Accepting new patients

Locations

600 Roe Ave
Elmira, NY 14905
Phone (607) 733-3639

600 Roe Ave
Ste 1F
Elmira, NY 14905
Phone (607) 795-8161

571 Saint Josephs Blvd
Ste 304
Elmira, NY 14901
Phone (607) 271-2050

1144 Meadow Dr
Oneida, NY 13421
Phone (315) 363-9380

321 Genesee St
Oneida, NY 13421
Phone (315) 361-2020

725 Irving Ave
Ste 600
Syracuse, NY 13210
Phone (315) 464-5162

251 Salina Meadows Pkwy
Ste 100
Syracuse, NY 13212
Phone (315) 464-2000

Interoperability endpoints

  • Direct secure messaging: rmestad6705@direct.upstate.edu
  • Direct secure messaging: renee.mestad.p2@direct.usppny.nextgenshare.com

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 2

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": "1141171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290556800000",
    "number": "1831166586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 IRVING AVE",
            "address_2": "SUITE 600",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132101603",
            "telephone_number": "315-464-5162",
            "fax_number": "315-464-4613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 IRVING AVE",
            "address_2": "SUITE 600",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132101603",
            "telephone_number": "315-464-5162",
            "fax_number": "315-464-4613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MESTAD",
        "first_name": "RENEE",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-01",
        "last_updated": "2010-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "257554",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03251461",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

Verify at the official NPI Registry.