Individual provider Active NPI

Andrew Jenis, MD

  • Emergency Medicine Physician
  • Cortland, NY
National Provider Identifier
1891874673
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
203869 Issued in NY
Practice address
134 Homer Ave
Cortland, NY 13045-1206
Phone
(330) 493-4443
Fax
(330) 493-8677
NPI assigned
Nov 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X D0076162 MD
Emergency Medicine Physician 207P00000X 203869 NY Primary

Addresses

Primary practice location

134 Homer Ave
Cortland, NY 13045-1206

Mailing address

4535 Dressler Rd NW
Canton, OH 44718-2545
Phone (330) 493-4443

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
I20050711000084 NY Practitioner - Emergency Medicine 5799711073 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Island Emergency Medical Services PCGroup PAC ID 4981503513, 138 clinicians

Practice addresses (Care Compare)

600 Northern Blvd
Albany, NY 12204-1004
Phone (518) 471-3221

Hospital & facility affiliations

  • Guthrie Cortland Regional Medical Center Hospital, Cortland, NY, CCN 330175
  • St John'S Episcopal Hospital at South Shore Hospital, Far Rockaway, NY, CCN 330395

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
203869NYMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Island Emergency Medical Services, P.C. Emergency Medicine CurrentSince Sep 1, 2023 Accepting new patients
Siena Emergency Medical Services, P.C. Emergency Medicine Current Accepting new patients
Ahn Emergency Group of Erie County LTD. Emergency Medicine Current Accepting new patients
Port Emergency Medical Services, P.C. Emergency Medicine CurrentSince Mar 23, 2024 Accepting new patients
Emergency Medicine Physicians of Iredell County, PLLC Emergency Medicine Past Accepting new patients
Emergency Medicine Physicians of Craven County, PLLC Emergency Medicine Past Accepting new patients
Emergency Medicine Physicians of Vanderburgh County, PC Emergency Medicine Past Accepting new patients
Emergency Medicine Physicians of Ulster County,PLLC Emergency Medicine Past Accepting new patients
Emergency Medicine Physicians of Mecklenburg County, PLLC Emergency Medicine Past Accepting new patients
Emergency Medicine Physicians of Onondaga County, PLLC Emergency Medicine Past Accepting new patients
Emergency Medicine Physicians of Hamilton County, LTD. Emergency Medicine Past Accepting new patients
Cornell University Past Accepting new patients
Emergency Medicine Physicians of York County, LTD Emergency Medicine Past Accepting new patients
Emergency Medicine Physicians of Gaston County, PLLC Emergency Medicine Past Accepting new patients
Emergency Medicine Physicians of Carteret County, PLLC Emergency Medicine Past Accepting new patients
Emergency Medicine Physicians of Cattaraugus County, PLLC Emergency Medicine Past Accepting new patients

Locations

600 Northern Blvd
Albany, NY 12204
Phone (518) 427-3331

327 Beach 19th St
Far Rockaway, NY 11691
Phone (718) 689-7640

1101 Nott St
Schenectady, NY 12308
Phone (518) 243-1916

50 Route 25A
Smithtown, NY 11787
Phone (631) 465-6225

2215 Burdett Ave
Troy, NY 12180
Phone (518) 271-3300

4535 Dressler Rd NW
Canton, OH 44718
Phone (330) 994-4409

Interoperability endpoints

  • Direct secure messaging: ajenis162399@direct-guthrie.org

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 1

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": "1162512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787616000000",
    "number": "1891874673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4535 DRESSLER RD NW",
            "city": "CANTON",
            "state": "OH",
            "postal_code": "447182545",
            "telephone_number": "330-493-4443",
            "fax_number": "330-493-8677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 HOMER AVE",
            "city": "CORTLAND",
            "state": "NY",
            "postal_code": "130451206",
            "telephone_number": "330-493-4443",
            "fax_number": "330-493-8677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENIS",
        "first_name": "ANDREW",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-03",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MD",
            "license": "D0076162",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "203869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cortland, NY

Sources for this page

Verify at the official NPI Registry.