Individual provider Active NPI

Ted J Triana, D.O.

  • Family Medicine Physician
  • Syracuse, NY
National Provider Identifier
1902892482
Registry record updated Aug 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
184310 Issued in NY
Practice address
311 Green St
Syracuse, NY 13203-2911
Phone
(315) 425-1431
Fax
(315) 425-1994
NPI assigned
Sep 21, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 184310 NY Primary

Addresses

Primary practice location

311 Green St
Syracuse, NY 13203-2911

Mailing address

311 Green St
Syracuse, NY 13203-2911
Phone (315) 425-1431

Other identifiers 1

IdentifierTypeStateIssuer
01465365MedicaidNY

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
I20041227000675 NY Practitioner - Family Practice 1052379856 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
New York College of Osteo Medicine of New York Institute of Technology, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ted J Triana DO PCGroup PAC ID 1254424211, 5 clinicians

Practice addresses (Care Compare)

311 Green St
Syracuse, NY 13203-2911
Phone (315) 425-1431

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
184310NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ted J. Triana, DO PC Family Medicine CurrentSince Mar 1, 2017 Accepting new patients
Liberty Resources Inc. CurrentSince Aug 1, 2021 Accepting new patients
Ted J. Triana, DO, PC Family Medicine CurrentSince Apr 25, 2021 Accepting new patients
Liberty Resources, Inc. CurrentSince Aug 1, 2021 Accepting new patients

Locations

138 E Genesee St
Baldwinsville, NY 13027
Phone (315) 635-2333

1001 W Fayette St
Ste 400
Syracuse, NY 13204
Phone (315) 472-1488

2700 Court St
Syracuse, NY 13208
Phone (315) 454-9022

311 Green St
Syracuse, NY 13203
Phone (315) 425-1431

1045 James St
Syracuse, NY 13203
Phone (315) 425-1004

511 S Main St
Syracuse, NY 13212
Phone (315) 425-1431

Interoperability endpoints

  • Direct secure messaging: ttriana@compassionatefamilymedicine.medentdirect.com

Organizations & group practices 4

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 4

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": "1127260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755043200000",
    "number": "1902892482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "311 GREEN ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132032911",
            "telephone_number": "315-425-1431",
            "fax_number": "315-425-1994"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 GREEN ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132032911",
            "telephone_number": "315-425-1431",
            "fax_number": "315-425-1994"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRIANA",
        "first_name": "TED",
        "middle_name": "J",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-21",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "184310",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01465365",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

Verify at the official NPI Registry.