Individual provider Active NPI

Alexander Banashkevich, M.D.

  • Radiation Oncology Physician
  • Syracuse, NY
National Provider Identifier
1881005007
Registry record updated May 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
274913 Issued in NY
Practice address
750 E. Adams Street
Upstate Medical University Dept. of Radiation Oncology
Syracuse, NY 13210
Phone
(315) 464-5276
NPI assigned
May 9, 2014
Last updated
May 9, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 274913 NY Primary

Addresses

Primary practice location

750 E. Adams Street
Upstate Medical University Dept. of Radiation Oncology
Syracuse, NY 13210

Mailing address

750 E. Adams Street
Upstate Medical University Dept. of Radiation Oncology
Syracuse, NY 13210
Phone (315) 464-5276

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
I20141010001408 NY Practitioner - Radiation Oncology 5597985788 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Upstate University Radiation Oncology IncGroup PAC ID 7719012889, 15 clinicians
Guthrie Medical Group PCGroup PAC ID 6002728656, 795 clinicians
Auburn Community HospitalGroup PAC ID 2365346525, 61 clinicians

Practice addresses (Care Compare)

105 County Route 45a
Suite 200
Oswego, NY 13126-6667
Phone (315) 207-9066

1088 Commons Ave
Cortland, NY 13045-1644
Phone (607) 758-2360

17 Lansing St
Auburn, NY 13021-1983
Phone (315) 255-7142

5584 E Main St
Verona, NY 13478-3531
Phone (315) 473-3300

750 E Adams St
Syracuse, NY 13210-2306
Phone (315) 464-5276

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
274913NYMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Auburn Community Hospital CurrentSince Feb 1, 2024 Accepting new patients
Guthrie Medical Group, P.C. CurrentSince Sep 11, 2020 Accepting new patients
Guthrie Medical Group, P.C. CurrentSince Sep 11, 2020 Accepting new patients
Auburn Community Hospital CurrentSince Feb 1, 2024 Accepting new patients
Upstate University Radiation Oncology, Inc. Radiation Oncology CurrentSince Nov 24, 2014 Accepting new patients
Guthrie Medical Group PC Past Accepting new patients

Locations

5 Lansing St
Auburn, NY 13021
Phone (315) 253-1818

130 Center Way
Corning, NY 14830
Phone (607) 936-9971

1088 Commons Ave
Cortland, NY 13045
Phone (607) 725-6806

105 County Route 45A
Ste 200
Oswego, NY 13126
Phone (315) 207-9066

17 Lansing St
Sennett, NY 13021
Phone (315) 255-7011

1000 E Genesee St
Ste 101
Syracuse, NY 13210
Phone (315) 471-3535

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

750 E Adams St
#1064
Syracuse, NY 13210
Phone (315) 464-2020

Interoperability endpoints

  • Direct secure messaging: abanashkevich163165@direct-guthrie.org
  • Direct secure messaging: abanashkevich41295@direct.upstate.edu

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1399593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399593600000",
    "number": "1881005007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 E. ADAMS STREET",
            "address_2": "UPSTATE MEDICAL UNIVERSITY DEPT. OF RADIATION ONCOLOGY",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "13210",
            "telephone_number": "315-464-5276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 E. ADAMS STREET",
            "address_2": "UPSTATE MEDICAL UNIVERSITY DEPT. OF RADIATION ONCOLOGY",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "13210",
            "telephone_number": "315-464-5276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BANASHKEVICH",
        "first_name": "ALEXANDER",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-09",
        "last_updated": "2014-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "NY",
            "license": "274913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

Verify at the official NPI Registry.