Active NPI
Kimberly Fox Mahr, CRNA
- Certified Registered Nurse Anesthetist
- Syracuse, NY
National Provider Identifier
1942331475
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 442937
- Practice address
- 550 Harrison St
Suite 230
Syracuse, NY 13202-3096 - Phone
- (315) 472-4424
- Fax
- (315) 475-8056
- NPI assigned
- Mar 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 442937 | NY | Primary |
Addresses
Primary practice location
550 Harrison St
Suite 230
Syracuse, NY 13202-3096
Mailing address
416 Churchill LN
Fayetteville, NY 13066-2543
Phone (315) 682-4236
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 442937 | Other | NY | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 99.42 of 100
- Quality
- 97.55
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 82.01
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Upstate Medical Anesthesiology Group, Inc. | Current | Accepting new patients | |
| American Anesthesiology of Syracuse, PC | Past | Accepting new patients | |
| Holdings,LLC | Past | Accepting new patients |
Locations
550 Harrison St
Ste 230
Syracuse, NY 13202
Phone (315) 472-3064
750 E Adams St
Syracuse, NY 13210
Phone (315) 464-4363
163 Intrepid Ln
#100
Syracuse, NY 13205
5784 Widewaters Pkwy
Ste 2
Syracuse, NY 13214
Phone (315) 469-1134
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.
-
- General Acute Care Hospital
- Syracuse, NY
- NPI 1851485759
-
- Anesthesiology Physician
- Syracuse, NY
- NPI 1790718591
-
- Multi-Specialty Clinic/Center
- Syracuse, NY
- NPI 1861563561
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1942331475",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "416 CHURCHILL LN",
"city": "FAYETTEVILLE",
"state": "NY",
"postal_code": "130662543",
"telephone_number": "315-682-4236"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "550 HARRISON ST",
"address_2": "SUITE 230",
"city": "SYRACUSE",
"state": "NY",
"postal_code": "132023096",
"telephone_number": "315-472-4424",
"fax_number": "315-475-8056"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAHR",
"first_name": "KIMBERLY",
"middle_name": "FOX",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NY",
"license": "442937",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "442937",
"state": "NY"
}
],
"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 Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.