Individual provider Active NPI

Michael Andrew Lacombe, M.D.

  • Radiation Oncology Physician
  • Syracuse, NY
National Provider Identifier
1942237359
Registry record updated Feb 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
263368 Issued in NY
Practice address
1000 East Genesee St
Suite 101
Syracuse, NY 13210
Phone
(315) 476-3535
Fax
(315) 476-4140
NPI assigned
Jun 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 036-088056 IL
Radiation Oncology Physician 2085R0001X 263368 NY Primary

Addresses

Primary practice location

1000 East Genesee St
Suite 101
Syracuse, NY 13210

Mailing address

1000 East Genesee St
Suite 101
Syracuse, NY 13210
Phone (315) 476-3535

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
I20111118000093 NY Practitioner - Radiation Oncology 8820078314 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
State University of Ny Upstate Medical University, 1990
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

Practice addresses (Care Compare)

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

Hospital & facility affiliations

  • University Hospital S U N Y Health Science Center Hospital, Syracuse, NY, CCN 330241

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-088056ILMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Upstate University Radiation Oncology, Inc. Radiation Oncology CurrentSince Dec 1, 2011 Accepting new patients
Guthrie Medical Group, P.C. CurrentSince Jul 21, 2020 Accepting new patients
Guthrie Medical Group, P.C. CurrentSince Jul 21, 2020 Accepting new patients
Radiation Medicine Institute Specialist Past Accepting new patients
Radiation Medicine Institute Specialist Past Accepting new patients

Locations

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

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

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

224 Harrison St
Ste 600
Syracuse, NY 13202

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

Interoperability endpoints

  • Direct secure messaging: mlacombe163267@direct-guthrie.org
  • Direct secure messaging: mlacombe6842@direct.upstate.edu

Organizations & group practices 5

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 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": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423612800000",
    "number": "1942237359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 EAST GENESEE ST",
            "address_2": "SUITE 101",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "13210",
            "telephone_number": "315-476-3535",
            "fax_number": "315-476-4140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 EAST GENESEE ST",
            "address_2": "SUITE 101",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "13210",
            "telephone_number": "315-476-3535",
            "fax_number": "315-476-4140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACOMBE",
        "first_name": "MICHAEL",
        "middle_name": "ANDREW",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2015-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IL",
            "license": "036-088056",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "NY",
            "license": "263368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

Verify at the official NPI Registry.