ASSOCIATED GASTROENTEROLOGISTS OF CENTRAL NEW YORK, PC
NPI 1013938174
Internal Medicine - Gastroenterology in Camillus, NY
About Associated Gastroenterologists Of Central New York, Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ASSOCIATED GASTROENTEROLOGISTS OF CENTRAL NEW YORK, PC (NPI 1013938174) is a healthcare organization registered as a gastroenterology in Camillus, New York and active in the NPI registry since July 2006. The organization holds a CLIA Certificate of Compliance certificate valid through March 26, 2027, maintains a secondary practice location in Syracuse, and lists Carol Gallup, Credentialing Coordinator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 3
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)
Associated Gastroenterologists Of Central New York, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
17Medicare enrollment records show 17 clinicians reassign Medicare billing to Associated Gastroenterologists Of Central New York, PC, which bills Medicare for the services they deliver. Of these, 13 practice at this address and 14 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 3
Clinicians, nearest first (17)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Compliance 33D2053918
Associated Gastroenterologists Of Central New York PC Histopathology Lab · Liverpool, NYFrequently 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 Associated Gastroenterologists Of Central New York, PC's NPI number?
The NPI number for Associated Gastroenterologists Of Central New York, PC is 1013938174. It was assigned to this organization in the NPPES registry on July 22, 2006.
Where is Associated Gastroenterologists Of Central New York, PC located?
Associated Gastroenterologists Of Central New York, PC is located at 260 Township Blvd Ste 20, Camillus, NY 13031. The listed phone number is (315) 708-0190.
What is Associated Gastroenterologists Of Central New York, PC's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.
Is Associated Gastroenterologists Of Central New York, PC enrolled in Medicare?
Yes. Associated Gastroenterologists Of Central New York, PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Associated Gastroenterologists Of Central New York, PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 17 clinicians in 3 Medicare specialties reassign their Medicare billing to Associated Gastroenterologists Of Central New York, PC. 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 Gastroenterology (8), Nurse Practitioner (7) and Pathology (2). Of these, 13 practice at this address and 14 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Associated Gastroenterologists Of Central New York, PC hold a CLIA laboratory certificate?
Yes. A Certificate of Compliance (number 33D2053918) is associated with this NPI, valid through March 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Associated Gastroenterologists Of Central New York, PC was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Associated Gastroenterologists Of Central New York, Pc · NPI 1013938174
Gastroenterology organization in Camillus, New York. Organization record, active in the CMS NPPES registry since July 22, 2006.
## Identity
- **NPI:** 1013938174 (Entity type: Organization)
- **Enumerated:** July 22, 2006
- **Primary specialty:** Internal Medicine - Gastroenterology · taxonomy 207RG0100X
- **Organization subpart:** No
- **Authorized official:** Carol Gallup, CREDENTIALING COORDINATOR
## Practice location
- **Address:** 260 TOWNSHIP BLVD, STE 20, Camillus, NY 13031
- **Phone:** (315) 708-0190 · **Fax:** (315) 488-3284
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 17 clinicians in 3 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Gastroenterology (8), Nurse Practitioner (7), Pathology (2); 13 practice at this address and 14 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 17, 2018
- **Other identifiers:** Medicaid 00482137 (NY); Other CF1049 (NY); Other CC7979 (NY)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1013938174) · Data from the CMS NPPES public registry.