UPSTATE UROLOGY, INC.
NPI 1003062043
Urology in Syracuse, NY
About Upstate Urology, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
UPSTATE UROLOGY, INC. (NPI 1003062043) is a healthcare organization registered as an urology in Syracuse, New York and active in the NPI registry since August 2008. The organization lists Gennady Bratslavsky, Chair, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Upstate Urology, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
41Medicare enrollment records show 41 clinicians reassign Medicare billing to Upstate Urology, Inc., which bills Medicare for the services they deliver. Of these, 31 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 2
Nearest to this location (20)
See all 41Syracuse, NY 13210
Syracuse, NY 13210
Syracuse, NY 13210
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Upstate Urology, Inc.'s NPI number?
The NPI number for Upstate Urology, Inc. is 1003062043. It was assigned to this organization in the NPPES registry on August 11, 2008.
Where is Upstate Urology, Inc. located?
Upstate Urology, Inc. is located at 750 E Adams St, Syracuse, NY 13210. The listed phone number is (315) 464-6106.
What is Upstate Urology, Inc.'s specialty?
The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.
Is Upstate Urology, Inc. enrolled in Medicare?
Yes. Upstate Urology, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Upstate Urology, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 41 clinicians in 2 Medicare specialties reassign their Medicare billing to Upstate Urology, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Urology (35) and Nurse Practitioner (6). Of these, 31 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Upstate Urology, Inc. was last updated on July 28, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Upstate Urology, Inc. · NPI 1003062043
Urology organization in Syracuse, New York. Organization record, active in the CMS NPPES registry since August 11, 2008.
## Identity
- **NPI:** 1003062043 (Entity type: Organization)
- **Enumerated:** August 11, 2008
- **Primary specialty:** Urology · taxonomy 208800000X
- **Organization subpart:** No
- **Authorized official:** Gennady Bratslavsky, CHAIR
## Practice location
- **Address:** 750 E ADAMS ST, Syracuse, NY 13210-2342
- **Phone:** (315) 464-6106 · **Fax:** (315) 464-6117
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 41 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Urology (35), Nurse Practitioner (6); 31 practice within 10 miles; [full list](https://npiprofile.com/npi/1003062043/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 28, 2011
- **Other identifiers:** Medicaid 03043809 (NY); Medicare PIN J100000043 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1003062043) · Data from the CMS NPPES public registry.