Individual provider Active NPI

Ines M Carrasquillo, MD

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Syracuse, NY
National Provider Identifier
1851319321
Registry record updated Sep 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X
License
83637 Issued in SC
Practice address
Dept. of Medicine Medical Service Group-Palliative Care
750 East Adams St., 10TH Floor
Syracuse, NY 13210
Phone
(315) 464-6098
Fax
(315) 464-4761
NPI assigned
Jul 17, 2006
Last updated
Sep 29, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice and Palliative Medicine (Family Medicine) Physician 207QH0002X 83637 SC Primary
Hospice and Palliative Medicine (Family Medicine) Physician 207QH0002X 122279 IL
Hospice and Palliative Medicine (Family Medicine) Physician 207QH0002X 163791 NY

Addresses

Primary practice location

Dept. of Medicine Medical Service Group-Palliative Care
750 East Adams St., 10TH Floor
Syracuse, NY 13210

Mailing address

Dept. of Medicine Medical Service Group-Palliative Care
750 East Adams St., 10TH Floor
Syracuse, NY 13210
Phone (315) 464-6098

Other identifiers 1

IdentifierTypeStateIssuer
3654790-01MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, NY2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20230816001621 IL Practitioner - Plastic and Reconstructive Surgery 6204826704 Reassigns benefits to 1 organization
I20251008002781 NY Practitioner - Hospice/Palliative Care 6204826704 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hospice/Palliative Care
Education
Yale University School of Medicine, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

750 E Adams St
Syracuse, NY 13210-2306
Phone (315) 464-5240

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
122279ILMDHospice and Palliative Medicine (Family Medicine) Physician
83637SCMDHospice and Palliative Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Department of Medicine Medical Serv GRP at Suny HLTH Sci Ctr Syr in CurrentSince Sep 1, 2025 Accepting new patients
Transformations Clinical Entity Florida Illinois and Ohio SC Plastic Surgery CurrentSince Aug 1, 2023 Accepting new patients
Department of Medicine Medical Service Group CurrentSince Sep 1, 2025 Accepting new patients
Plastic Surgery Group of Rochester LLC Plastic Surgery PastSince Jan 24, 2000 Accepting new patients

Locations

5995 Spring Creek Rd
Rockford, IL 61114
Phone (815) 654-2020

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

750 E Adams St
Fl 10
Syracuse, NY 13210
Phone (315) 464-6098

Interoperability endpoints

  • Direct secure messaging: icarrasquillo174975@direct.upstate.edu
  • Direct secure messaging: ines.carrasquillo@hca5.eclinicaldirectplus.com

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759104000000",
    "number": "1851319321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "DEPT. OF MEDICINE MEDICAL SERVICE GROUP-PALLIATIVE CARE",
            "address_2": "750 EAST ADAMS ST., 10TH FLOOR",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "13210",
            "telephone_number": "315-464-6098",
            "fax_number": "315-464-4761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "DEPT. OF MEDICINE MEDICAL SERVICE GROUP-PALLIATIVE CARE",
            "address_2": "750 EAST ADAMS ST., 10TH FLOOR",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "13210",
            "telephone_number": "315-464-6098",
            "fax_number": "315-464-4761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRASQUILLO",
        "first_name": "INES",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2025-09-29",
        "certification_date": "2025-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "SC",
            "license": "83637",
            "primary": true
        },
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "IL",
            "license": "122279",
            "primary": false
        },
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "NY",
            "license": "163791",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3654790-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

Verify at the official NPI Registry.