Individual provider Active NPI

Christine Marie Granato, M.D.

  • Gastroenterology Physician
  • Camillus, NY
National Provider Identifier
1851535116
Registry record updated Jun 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
267013 Issued in NY
Practice address
260 Township Blvd
Suite 20
Camillus, NY 13031-2206
Phone
(315) 708-0091
Fax
(315) 488-3284
NPI assigned
Apr 29, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 267013 NY Primary

Addresses

Primary practice location

260 Township Blvd
Suite 20
Camillus, NY 13031-2206

Mailing address

260 Township Blvd
Ste 20
Camillus, NY 13031-1678
Phone (315) 708-0190

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
I20121113000320 NY Practitioner - Gastroenterology 6608027024 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associated Gastroenterologists of Central New York PCGroup PAC ID 3375512213, 14 clinicians
St Josephs Medical PCGroup PAC ID 4688855844, 388 clinicians

Practice addresses (Care Compare)

260 Township Blvd
Suite 20
Camillus, NY 13031-1665

260 Township Blvd
Suite 20
Camillus, NY 13031-1678
Phone (315) 708-0091

301 Prospect Ave
Syracuse, NY 13203-1807
Phone (315) 448-5111

4217 Medical Ctr Dr
Fayetteville, NY 13066-6601
Phone (315) 329-7300

4817 Reval CT
Liverpool, NY 13088-4132

5100 W Taft Rd
Liverpool, NY 13088-3846
Phone (315) 452-2214

5100 W Taft Rd
Liverpool, NY 13088-4841

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy235
Upper gastrointestinal (GI) endoscopy for acid reflux165

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St Josephs Medical PC CurrentSince Jul 1, 2024 Accepting new patients
North Medical PC Current Accepting new patients

Locations

5100 W Taft Rd
Ste 2T
Liverpool, NY 13088
Phone (315) 744-1592

7209 Buckley Rd
Liverpool, NY 13088
Phone (315) 299-5451

301 Prospect Ave
Ofc
Syracuse, NY 13203
Phone (315) 448-2876

Interoperability endpoints

  • Direct secure messaging: cgranato2386945@direct.trinity-health.org
  • Direct secure messaging: cgranato@agcny.medentdirect.com

Organizations & group practices 3

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": "1240963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466121600000",
    "number": "1851535116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 TOWNSHIP BLVD",
            "address_2": "STE 20",
            "city": "CAMILLUS",
            "state": "NY",
            "postal_code": "130311678",
            "telephone_number": "315-708-0190",
            "fax_number": "315-488-3284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 TOWNSHIP BLVD",
            "address_2": "SUITE 20",
            "city": "CAMILLUS",
            "state": "NY",
            "postal_code": "130312206",
            "telephone_number": "315-708-0091",
            "fax_number": "315-488-3284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRANATO",
        "first_name": "CHRISTINE",
        "middle_name": "MARIE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-29",
        "last_updated": "2016-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "267013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Camillus, NY

Sources for this page

Verify at the official NPI Registry.