Individual provider Active NPI

Mary Catherine Trusilo, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • North Syracuse, NY
National Provider Identifier
1932350220
Registry record updated Jun 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
252965 Issued in NY
Practice address
5496 E Taft Rd
North Syracuse, NY 13212-3784
Phone
(315) 552-6700
NPI assigned
Oct 4, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 252965 NY Primary

Addresses

Primary practice location

5496 E Taft Rd
North Syracuse, NY 13212-3784

Mailing address

PO Box 510
Syracuse, NY 13214-0510
Phone (315) 552-6700

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
I20090716000029 NY Practitioner - Pain ManagementPractitioner - Anesthesiology 2769534254 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Anesthesiology
Education
State University of Ny Upstate Medical University, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

301 Prospect Ave
Syracuse, NY 13203-1807
Phone (315) 448-5111

Merit-based Incentive Payment System (MIPS)

Final score
90.28 of 100Reported as group
Quality
95.25
Improvement activities
40
Cost
76.32

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
New York Anesthesiology Medical Specialties PC CurrentSince Jul 1, 2009 Accepting new patients
New York Anesthesiology Medical Specialties, PC CurrentSince Feb 1, 2007 Accepting new patients
Heritage One Day Surgery LLC Current Accepting new patients

Locations

5719 Widewaters Pkwy
Syracuse, NY 13214
Phone (315) 251-3110

301 Prospect Ave
Syracuse, NY 13203
Phone (315) 448-5111

5496 E Taft Rd
Syracuse, NY 13212
Phone (315) 552-6700

Interoperability endpoints

  • Direct secure messaging: marytrusilo@nysw.allscriptsdirect.net

Organizations & group practices 3

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": "1223078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277251200000",
    "number": "1932350220",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 510",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132140510",
            "telephone_number": "315-552-6700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5496 E TAFT RD",
            "city": "NORTH SYRACUSE",
            "state": "NY",
            "postal_code": "132123784",
            "telephone_number": "315-552-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUSILO",
        "first_name": "MARY",
        "middle_name": "CATHERINE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-04",
        "last_updated": "2010-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NY",
            "license": "252965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Syracuse, NY

Sources for this page

Verify at the official NPI Registry.