Individual provider Active NPI

Benjamin B McDaniel, M.D.

  • Diagnostic Radiology Physician
  • Syracuse, NY
National Provider Identifier
1871545053
Registry record updated Apr 3, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
232865 Issued in NY
Practice address
1000 E Genesee St
Suite 100
Syracuse, NY 13210-1892
Phone
(315) 472-8835
Fax
(315) 476-3712
NPI assigned
May 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X T0142 NH
Diagnostic Radiology Physician 2085R0202X 232865 NY Primary

Addresses

Primary practice location

1000 E Genesee St
Suite 100
Syracuse, NY 13210-1892

Mailing address

1000 E Genesee St
Suite 100
Syracuse, NY 13210-1892
Phone (315) 269-9729

Other identifiers 1

IdentifierTypeStateIssuer
02688291MedicaidNY

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
I20050929000996 NY Practitioner - Diagnostic Radiology 5193750974 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Duke University School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cny Diagnostic Imaging AssociatesGroup PAC ID 3072564244, 5 clinicians

Practice addresses (Care Compare)

1000 E Genesee St
Suite 100
Syracuse, NY 13210-1853
Phone (315) 472-8835

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
T0142NHMDDiagnostic Radiology Physician
232865NYMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cny Diagnostic Imaging Associates Diagnostic Radiology CurrentSince Jan 18, 2010 Accepting new patients
Crouse Medical Practice, PLLC PastSince Jan 18, 2010 Accepting new patients

Locations

8100 Oswego Rd
Ste 100
Liverpool, NY 13090
Phone (315) 453-5004

1000 E Genesee St
Ste 100
Syracuse, NY 13210
Phone (315) 269-9729

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1396483200000",
    "number": "1871545053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 E GENESEE ST",
            "address_2": "SUITE 100",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132101892",
            "telephone_number": "315-269-9729",
            "fax_number": "315-476-3712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 E GENESEE ST",
            "address_2": "SUITE 100",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132101892",
            "telephone_number": "315-472-8835",
            "fax_number": "315-476-3712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDANIEL",
        "first_name": "BENJAMIN",
        "middle_name": "B",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2014-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NH",
            "license": "T0142",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "232865",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02688291",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

Verify at the official NPI Registry.