Organization Active NPI

Upstate Medical Anesthesiology Group, Inc.

  • General Acute Care Hospital
  • Syracuse, NY
National Provider Identifier
1851485759
Registry record updated Apr 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
UPSTATE MEDICAL ANESTHESIOLOGY GROUP, INC.
Practice address
750 East Adams STR
Suite 4143
Syracuse, NY 13210
Phone
(315) 464-4891
Fax
(315) 464-4905
NPI assigned
Oct 3, 2006
Last updated
Apr 20, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2026

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

Authorized official

Name
Fenghua Li, MDNPI 1033239702
Title
Chair
Phone
(315) 464-4720

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X NU Primary

Addresses

Primary practice location

750 East Adams STR
Suite 4143
Syracuse, NY 13210

Mailing address

5784 Widewaters Pkwy Ste 2
Syracuse, NY 13214-1890
Phone (315) 469-1130

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040209000612 NY Part B Supplier - Clinic/Group Practice 8921992389 Receives reassigned benefits from 130 practitioners
Practice locations: East Syracuse, NY; Syracuse, NY

National Provider Directory

National Provider Directory

Locations

5700 W Genesee St
Ste 112
Camillus, NY 13031
Phone (315) 488-1601

6620 Fly Rd
Ste 205
East Syracuse, NY 13057
Phone (315) 464-4259

163 Intrepid Ln
Syracuse, NY 13205
Phone (315) 463-5541

5784 Widewaters Pkwy
Ste 2
Syracuse, NY 13214
Phone (315) 469-1134

750 E Adams St
Ste 4143
Syracuse, NY 13210
Phone (315) 464-4891

Practitioners & affiliated clinicians

Practitioners 213

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 213

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776643200000",
    "number": "1851485759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5784 WIDEWATERS PKWY STE 2",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132141890",
            "telephone_number": "315-469-1130",
            "fax_number": "315-469-1134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 EAST ADAMS STR",
            "address_2": "SUITE 4143",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "13210",
            "telephone_number": "315-464-4891",
            "fax_number": "315-464-4905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPSTATE MEDICAL ANESTHESIOLOGY GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2026-04-20",
        "certification_date": "2026-04-20",
        "status": "A",
        "authorized_official_last_name": "LI",
        "authorized_official_first_name": "FENGHUA",
        "authorized_official_title_or_position": "CHAIR",
        "authorized_official_telephone_number": "315-464-4720",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NU",
            "license": null,
            "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 Apr 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.