Active NPI
Michael Andrew Lacombe, M.D.
- Radiation Oncology Physician
- Syracuse, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- 263368
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-088056 | IL | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Upstate University Radiation Oncology, Inc. | Radiation Oncology | Current | Accepting new patients |
| Guthrie Medical Group, P.C. | Current | Accepting new patients | |
| Guthrie Medical Group, P.C. | Current | 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
- mlacombe163267@direct-guthrie.org
- 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.
-
- Radiation Oncology Physician
- Syracuse, NY
- NPI 1922337195
-
- Multi-Specialty Clinic/Center
- Corning, NY
- NPI 1134178635
-
- General Practice Physician
- Sayre, PA
- NPI 1245246644
-
- Specialist
- Evanston, IL
- NPI 1598937054
-
- Specialist
- Evanston, IL
- NPI 1871685149
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Syracuse, NY
- NPI 1578554630
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.