NPIMap

Individual provider Active NPI

Lawrence Semel, MD

  • Vascular Surgery Physician
  • Syracuse, NY
National Provider Identifier
1861561953
Registry record updated Jul 18, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
1465841 Issued in NY
Practice address
104 Union Ave
#1005
Syracuse, NY 13203
Phone
(315) 424-0790
Fax
(315) 475-0916
NPI assigned
Nov 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 1465841 NY Primary

Addresses

Primary practice location

104 Union Ave
#1005
Syracuse, NY 13203

Mailing address

104 Union Ave
#1005
Syracuse, NY 13203
Phone (315) 424-0790

Other identifiers 1

IdentifierTypeStateIssuer
0089556MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100825000001 NY Practitioner - Vascular SurgeryPractitioner - General Surgery 5193849388 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: General Surgery
Education
State University of Ny Upstate Medical University, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Josephs Medical PCGroup PAC ID 4688855844, 388 clinicians

Practice addresses (Care Compare)

104 Union Ave
Suite 1005
Syracuse, NY 13203-1846
Phone (315) 424-0790

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10
Varicose vein removal1-10
Leg revascularization (restoring blood flow)53
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1465841NYMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Joseph's Hospital Health Center CurrentSince Apr 5, 2022 Accepting new patients
North Medical PC Current Accepting new patients
St Josephs Medical PC CurrentSince Jan 1, 2016 Accepting new patients
St. Joseph's Physician Health, P.C. CurrentSince Mar 1, 2013 Accepting new patients
St Josephs Hospital Health Center CurrentSince Apr 5, 2022 Accepting new patients
Crouse Health Hospital, Inc. Past Accepting new patients

Locations

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

301 Prospect Ave
Ste 706
Syracuse, NY 13203
Phone (315) 703-5200

104 Union Ave
Ste 1005100
Syracuse, NY 13203
Phone (315) 424-0253

104 Union Ave
Ste 1005
Syracuse, NY 13203
Phone (315) 424-0790

104 Union Ave
Syracuse, NY 13203
Phone (315) 422-4442

104 Union Ave
Ste 10051007
Syracuse, NY 13203
Phone (315) 424-0253

Interoperability endpoints

  • Direct secure messaging: lsemel2386722@direct.trinity-health.org

Organizations & group practices 6

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": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184716800000",
    "number": "1861561953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 UNION AVE",
            "address_2": "#1005",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "13203",
            "telephone_number": "315-424-0790",
            "fax_number": "315-475-0916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 UNION AVE",
            "address_2": "#1005",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "13203",
            "telephone_number": "315-424-0790",
            "fax_number": "315-475-0916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEMEL",
        "first_name": "LAWRENCE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-06",
        "last_updated": "2007-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "NY",
            "license": "1465841",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0089556",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

Verify at the official NPI Registry.